Individual
JANA SANFORD-HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 SOUTHPARK BLVD STE 202, SAINT AUGUSTINE, FL 32086-5179
(352) 256-0658
Mailing address
247 PORTADA DR, SAINT AUGUSTINE, FL 32095-1637
(352) 256-0658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14825
FL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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