Individual
JAMIE GREDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13630 58TH ST N STE 103B, CLEARWATER, FL 33760-3734
(727) 530-1201
Mailing address
4824 N RIVER BLVD, TAMPA, FL 33603-1928
(920) 207-5626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16004
FL
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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