Individual
JENNIFER GENSOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E LAKE HOWARD DR, WINTER HAVEN, FL 33881-3118
(609) 892-8085
Mailing address
12720 E US HIGHWAY 92 LOT 2110, DOVER, FL 33527-4111
(609) 892-8085
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18795
FL
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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