Willene Declere, OTRL
Occupational Therapist in Kissimmee, FL. Individual provider (NPI-1).
NPI number1003933151
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003933151
- Entity type
- Individual (NPI-1)
- Name
- Willene Declere
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1189 | FL | Yes |
Practice location
1371 Cinder LnKissimmee, FL 34744-5617
Phone 407-729-1537
Mailing address
1371 Cinder LnKissimmee, FL 34744-5617
Phone 407-729-1537
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 93 Occupational Therapist providers in Kissimmee · All 7,630 providers in Kissimmee
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