Individual
BOBBIE ANNE FOSDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
11401 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-1402
(904) 260-1818
Mailing address
4090 HODGES BLVD APT 111, JACKSONVILLE, FL 32224-4204
(904) 305-0622
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
463172
FL
Other
Enumeration date
12/02/2021
Last updated
12/03/2021
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