Individual
JENNIFER MOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1223 JACARANDA BLVD, VENICE, FL 34292-4520
(941) 486-6420
Mailing address
PO BOX 11393, BELFAST, ME 04915-4004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT1054
ME
225X00000X
Occupational Therapist
Primary
OT20885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202650099
—
ME
Enumeration date
11/03/2005
Last updated
12/22/2020
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