Individual
JENNIFER PABON MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 S 11TH ST, LAKE WALES, FL 33853-4901
(863) 676-8502
Mailing address
2600 COMPASS DRIVE DRIVE, GLENVIEW, IL 60026
(847) 441-5593
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12265
FL
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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