Individual
ASHLEY WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 DUNN AVE STE 104, JACKSONVILLE, FL 32218-4830
(904) 757-1782
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18758
FL
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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