Individual
JENNIFER NICOLE SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5647 GULF DR, NEW PORT RICHEY, FL 34652-4019
(813) 435-3355
Mailing address
6316 CHERRY BLOSSOM TRL, GIBSONTON, FL 33534-3001
(850) 339-8414
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT23793
FL
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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