Villalobos, Jennifer Marie

Villalobos, Jennifer Marie is an sole proprietor health care provider with primary practice located at 4903 Nw 55Th Blvd , Coconut Creek FL 33073-3306. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Villalobos, Jennifer Marie can be contacted via phone (561) 288-0512.

Contact Information

Primary practice address
4903 Nw 55Th Blvd Coconut Creek FL 33073-3306
Phone: (561) 288-0512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT12034 Florida

Profile Details

NPI number 1699188086
LBN Legal business name Villalobos, Jennifer Marie
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2014
Last updated Jun 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699188086 NPPES
Florida MEDICAID 110479800

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