Individual
MRS. JADZIA COOPER ECHENIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9470 CORKSCREW PALMS CIR STE 104, ESTERO, FL 33928-3305
(239) 400-1705
Mailing address
418 PINAFORE AVE, LEHIGH ACRES, FL 33974-2407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-169933
CA
225X00000X
Occupational Therapist
Primary
26015
FL
Other
Enumeration date
06/02/2021
Last updated
04/25/2025
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