Individual
JENNA M HOUSEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
10535 ANTILLES DR, LARGO, FL 33774-5335
(727) 588-6801
Mailing address
9135 122ND WAY, SEMINOLE, FL 33772-3234
(727) 410-4771
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13044
FL
225XP0200X
Pediatric Occupational Therapist
13044
FL
225XP0200X
Pediatric Occupational Therapist
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Other
Enumeration date
01/28/2008
Last updated
01/31/2020
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