Individual
MR. ANJANJYOTI BARUAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11565 HARTS RD, JACKSONVILLE, FL 32218-3777
(904) 751-1834
Mailing address
502 CANDLEBARK DR, JACKSONVILLE, FL 32225-5358
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12577
FL
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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