Individual
JESSICA CARLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT14188
STATE OF FLORIDA
FL
Enumeration date
06/04/2013
Last updated
08/06/2015
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