Individual
REENA JODHARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
513 SW HIAWATHA ST, PORT ST LUCIE, FL 34953
(772) 621-8798
Mailing address
513 SW HIAWATHA ST, PORT ST LUCIE, FL 34953-6275
(772) 621-8798
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10182
FL
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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