Individual
JENNIFER C LAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 S SEMORAN BLVD, SUITE 108, WINTER PARK, FL 32792-5313
(877) 430-2772
Mailing address
925 S SEMORAN BLVD, WINTER PARK, FL 32792-5313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005415
MO
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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