Individual
JILLIAN SUNDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5920 SW 68TH ST, SOUTH MIAMI, FL 33143-3524
(305) 665-0886
Mailing address
12895 SW 91ST CT, MIAMI, FL 33176-5857
(786) 256-7410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12680
FL
Other
Enumeration date
07/13/2007
Last updated
01/28/2011
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