Individual
ALYSSA JINDRACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5741 SW 16TH ST, PLANTATION, FL 33317-5338
(954) 604-0192
Mailing address
5741 SW 16TH ST, PLANTATION, FL 33317-5338
(954) 604-0192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21994
FL
Other
Enumeration date
09/07/2021
Last updated
09/08/2021
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