Individual ProviderJia QiuOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address165 Rosette Dr, Winter Springs, FL 32708-7123(407) 409-8811PECOS EnrollmentBased on the most recent information from CMS, provider Jia Qiu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:41 AM.Profile DetailsProvider ID1164053013Provider TypeIndividualFull NameQiu, JiaCredentialMSGenderMaleSole ProprietorYesEnumeration Date1/29/2020Last Updated1/29/2020Contact InformationPractice LocationPractice Address165 Rosette Dr, Winter Springs, FL 32708-7123Phone(407) 409-8811FaxUnlisted FaxMailing LocationMailing Address165 Rosette Dr, Winter Springs, FL 32708-7123Phone(407) 409-8811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT3390Florida