Individual
JONI IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
112 VIA HAVARRE, MERRITT ISLAND, FL 32953-2923
(321) 271-9012
Mailing address
112 VIA HAVARRE, MERRITT ISLAND, FL 32953-2923
(321) 271-9012
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12623
FL
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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