Individual
JENNIFER ASH BARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTL
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 798-6170
Mailing address
14905 17TH AVE E, BRADENTON, FL 34212-8110
(941) 580-3711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10025
FL
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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