Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Farah Derenoncourt

Individual provider Occupational Therapy Assistant · NPI 1104572353

Farah Derenoncourt is an Occupational Therapy Assistant in Tamarac, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

8008 NW 106th Ave
Tamarac, FL 33321-1120
Phone: (754) 252-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA17524 (FL)
Occupational Therapy Assistant Taxonomy 224Z00000X

Record details

NPI number1104572353
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2022
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022

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