Individual
CARLI JESSICA IMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9508 GRIFFIN RD, COOPER CITY, FL 33328-3416
(954) 689-0730
(888) 725-9013
Mailing address
9508 GRIFFIN RD, COOPER CITY, FL 33328-3416
(954) 689-0730
(888) 725-9013
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT18918
FL
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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