Individual
JESLEY CENTENO-NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 NW 104TH AVE, CORAL SPRINGS, FL 33071-6501
(954) 588-6361
Mailing address
1780 NW 104TH AVE, CORAL SPRINGS, FL 33071-6501
(305) 801-6625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20095
FL
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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