Provider Demographics
NPI:1932242955
Name:VERONESE, JANICE KAREN (MOTR)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:KAREN
Last Name:VERONESE
Suffix:
Gender:F
Credentials:MOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9411 NW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-3237
Mailing Address - Country:US
Mailing Address - Phone:954-572-8570
Mailing Address - Fax:954-572-8570
Practice Address - Street 1:9411 NW 24TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-3237
Practice Address - Country:US
Practice Address - Phone:954-572-8570
Practice Address - Fax:954-572-8570
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9572225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist