Provider Demographics
NPI:1023456415
Name:CODINACH, ANAT ROSA (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:ANAT
Middle Name:ROSA
Last Name:CODINACH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5317 SW 33RD TER
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-5575
Mailing Address - Country:US
Mailing Address - Phone:954-290-6284
Mailing Address - Fax:
Practice Address - Street 1:5317 SW 33RD TER
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-5575
Practice Address - Country:US
Practice Address - Phone:954-290-6284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15715225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist