Provider Demographics
NPI:1194055160
Name:O.T.'S R' US, INC.
Entity type:Organization
Organization Name:O.T.'S R' US, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEL
Authorized Official - Middle Name:MARIANNE
Authorized Official - Last Name:BERDUGO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:786-486-0285
Mailing Address - Street 1:5602 NW 112TH CT
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3868
Mailing Address - Country:US
Mailing Address - Phone:786-486-0285
Mailing Address - Fax:305-381-5184
Practice Address - Street 1:5602 NW 112TH CT
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-3868
Practice Address - Country:US
Practice Address - Phone:786-486-0285
Practice Address - Fax:305-381-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13476225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty