Provider Demographics
NPI:1427258201
Name:SPIEGEL, JENNIFER RUTH (MS OTR/L)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RUTH
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16598 GATEWAY BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9666
Mailing Address - Country:US
Mailing Address - Phone:914-588-1182
Mailing Address - Fax:
Practice Address - Street 1:16598 GATEWAY BRIDGE DR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-9666
Practice Address - Country:US
Practice Address - Phone:914-588-1182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT18639225X00000X
NY014367-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist