Individual
JASMIN MERCEDES ISIDRA STITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1445 HOWELL AVE, BROOKSVILLE, FL 34601-1502
(352) 799-1451
Mailing address
7305 LAKE MAGNOLIA DR APT D, NEW PORT RICHEY, FL 34653-6938
(727) 810-1868
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15269
FL
Other
Enumeration date
06/29/2019
Last updated
06/29/2019
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