Individual
ALISON JUSSAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012582
PA
225X00000X
Occupational Therapist
OT17218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015699000
—
FL
Enumeration date
02/21/2013
Last updated
10/05/2015
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