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Organization
YACAVONE HOME THERAPY, INC.
Active
Organization
YACAVONE HOME THERAPY, INC.
Active
Other names
Yacavone Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LEE FITZGERALD MOT, OTR, LMT (OWNER/PRESIDENT)
(321) 246-8939
Entity
Organization
Contact information
Practice address
3773 STREAM DR, MELBOURNE, FL 32940
(212) 468-9393
(321) 246-8939
Mailing address
3773 STREAM DR, MELBOURNE, FL 32940-1102
(212) 468-9393
(321) 246-8939
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10000
FL
Other
Enumeration date
05/11/2006
Last updated
07/18/2018
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