Individual ProviderJacquelyn FlorentinOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3801 Miranda Ave, 117, Palo Alto, CA 94304-1207(650) 493-5000PECOS EnrollmentBased on the most recent information from CMS, provider Jacquelyn Florentin 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 2 days ago.Profile DetailsProvider ID1447794482Provider TypeIndividualFull NameFlorentin, JacquelynCredentialOTRGenderFemaleSole ProprietorNoEnumeration Date12/9/2016Last Updated12/9/2016Contact InformationPractice LocationPractice Address3801 Miranda Ave, 117, Palo Alto, CA 94304-1207Phone(650) 493-5000FaxUnlisted FaxMailing LocationMailing Address3801 Miranda Ave, 117, Palo Alto, CA 94304-1207Phone(650) 493-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8788California