Individual
ANITA LYNN ABDULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1577 ROBERTS DR, SUITE 320, JACKSONVILLE BEACH, FL 32250-3264
(904) 247-3324
(904) 858-6489
Mailing address
1325 SAN MARCO BLVD, SUITE 200, JACKSONVILLE, FL 32207-8568
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00326423
RR MEDICARE
FL
Enumeration date
06/14/2005
Last updated
03/17/2016
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