Individual
MRS. JENNIFER STANLEY ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1215 KINGSLEY AVE, ORANGE PARK, FL 32073-4631
(904) 269-8922
(904) 541-3294
Mailing address
3864 WESTRIDGE DR, ORANGE PARK, FL 32065-5535
(703) 400-2759
(904) 541-3294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12300
FL
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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