Individual
MRS. JESSICA MARIE STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2401 E HENRY AVE, TAMPA, FL 33610-4434
(813) 236-5589
Mailing address
18106 HERON WALK DR, TAMPA, FL 33647-3129
(813) 994-1101
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8877940-00
—
FL
Enumeration date
03/24/2007
Last updated
07/09/2007
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