Individual
JENNIFER ALLISON DAVIS POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1087 NE 39TH AVE, HOMESTEAD, FL 33033-5926
(305) 799-7452
Mailing address
50 NW 15TH ST, STE 106, HOMESTEAD, FL 33030-4267
(305) 799-7452
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13843
FL
Other
Enumeration date
07/24/2013
Last updated
05/11/2017
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