Individual
MS. JAYNE MARIE STITIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
5715 IMPERIAL KY, TAMPA, FL 33615-3506
(813) 855-9328
Mailing address
5715 IMPERIAL KY, TAMPA, FL 33615-3506
(813) 855-9328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9205539
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA8855
FL
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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