Individual
MRS. JENNIFER SHULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4074 PALM PL, WESTON, FL 33331-5035
(954) 384-0559
Mailing address
4074 PALM PL, WESTON, FL 33331-5035
(954) 384-0559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13036
FL
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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