Individual
JESSIKA FALCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18450 PINES BLVD STE 104, PEMBROKE PINES, FL 33029-1423
(954) 800-0741
Mailing address
520 NW 205TH AVE, PEMBROKE PINES, FL 33029-3478
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17698
FL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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