Individual
JENNIFER BAYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
501 BURNS AVE, LAKE WALES, FL 33853-3335
(863) 679-3338
Mailing address
2403 E HENRY AVE, TAMPA, FL 33610-4434
(813) 988-7633
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT5188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89059106
—
FL
Enumeration date
02/07/2007
Last updated
11/06/2020
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