Provider Demographics
NPI:1104459841
Name:JAISINGH, RHEA
Entity type:Individual
Prefix:
First Name:RHEA
Middle Name:
Last Name:JAISINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 51ST ST E APT 1208B
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-8522
Mailing Address - Country:US
Mailing Address - Phone:941-952-8022
Mailing Address - Fax:
Practice Address - Street 1:702 51ST ST E APT 1208B
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-8522
Practice Address - Country:US
Practice Address - Phone:941-952-8022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16780224Z00000X
CA5015224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant