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Individual

MRS. JENNIFER PRUGH MOFFITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
1600 NE 5TH AVE, POMPANO BEACH, FL 33060-5727
(561) 596-9328
Mailing address
9843 LAGO DR, BOYNTON BEACH, FL 33472-2771
(561) 596-9328

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14503
FL

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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