Individual
JOAN THERESA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, OTR L
Contact information
Practice address
1232 HARBOUR TOWN DR, ORANGE PARK, FL 32065-2562
(904) 838-0800
Mailing address
1232 HARBOUR TOWN DR, ORANGE PARK, FL 32065-2562
(904) 838-0800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891602100
—
FL
Enumeration date
01/29/2007
Last updated
11/01/2010
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