Individual
EUNICE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11512 LAKE MEAD AVE UNIT 604, JACKSONVILLE, FL 32256-9686
(904) 652-5408
Mailing address
267 KEY WEST DR, JACKSONVILLE, FL 32225-6224
(904) 521-4800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10809
FL
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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