Individual
AIMEE R JERNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6086 AJAX CT, COCOA, FL 32927-8866
(321) 507-8263
Mailing address
6086 AJAX CT, COCOA, FL 32927-8866
(321) 507-8263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18222
FL
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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