Individual
JASMINE LANIESE BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1002 S DILLARD ST STE 106, WINTER GARDEN, FL 34787-3991
(407) 877-0029
Mailing address
7919 BRIDGESTONE DR, ORLANDO, FL 32835-5390
(407) 394-6252
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19102
FL
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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