Individual
JAVARIS CUSHION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6207 MORSE OAKS CIR, JACKSONVILLE, FL 32244-8554
(904) 982-5705
Mailing address
6207 MORSE OAKS CIR, JACKSONVILLE, FL 32244-8554
(904) 982-5705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16701
FL
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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