Individual
JESSICA KINGRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR,L
Contact information
Practice address
3492 MARTIN HURST RD, TALLAHASSEE, FL 32312-1702
(850) 701-3920
Mailing address
1302 GOLF TERRACE DR, TALLAHASSEE, FL 32301-5602
(850) 570-1618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20531
FL
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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