Individual
MS. JENNA L FLORYANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1532 GILPIN ST, DENVER, CO 80218-1631
(866) 801-9492
Mailing address
1914 N PROSPECT AVE APT 51, MILWAUKEE, WI 53202-1433
(414) 460-3290
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4796-27
WI
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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