Individual
JACQUELYN MICHELE BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11262 SW 73RD TER, MIAMI, FL 33173-2617
(305) 273-8626
Mailing address
2715 TIGERTAIL AVE, 507, MIAMI, FL 33133-5312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12340
FL
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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