Provider Demographics
NPI:1255733168
Name:ABRAHAM, SHAFRANNA CAMILLE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:SHAFRANNA
Middle Name:CAMILLE
Last Name:ABRAHAM
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 1:10149 OAK MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-5468
Mailing Address - Country:US
Mailing Address - Phone:954-612-8206
Mailing Address - Fax:561-642-3384
Practice Address - Street 1:10149 OAK MEADOW LN
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-5468
Practice Address - Country:US
Practice Address - Phone:954-612-8206
Practice Address - Fax:561-642-3384
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA165783688340225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation