Individual
MRS. JENNIFER GUARINO SEIFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2129 W NEW HAVEN AVE, MELBOURNE, FL 32904-3875
(321) 446-9674
Mailing address
675 BINNEY ST, PALM BAY, FL 32907
(321) 951-9657
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
09666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-6706
MEDICARE
FL
Enumeration date
07/10/2010
Last updated
07/10/2010
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