Individual
MRS. JENNIFER STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
14421 METROPOLIS AVE, SUITE 103, FORT MYERS, FL 33912-4323
(239) 561-2778
(239) 561-8107
Mailing address
27290 HIGH SEAS LN, BONITA SPRINGS, FL 34135-4311
(954) 806-3538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14271
FL
225XP0200X
Pediatric Occupational Therapist
OT14271
FL
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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