Individual
JENNIFER AWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 TOMOKA BLVD S, LAKE PLACID, FL 33852-8123
(863) 465-7200
Mailing address
125 TOMOKA BLVD S, LAKE PLACID, FL 33852-8123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7352
FL
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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