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Individual

JENNIFER AVIDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2642 COLLINS AVE, SUITE 201, MIAMI BEACH, FL 33140-4738
(305) 890-4622
Mailing address
3330 NE 190TH ST, APT #1119, AVENTURA, FL 33180-2753
(305) 692-7669

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 13021
FL

Other

Enumeration date
01/03/2010
Last updated
01/03/2010
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