Individual
JAMIE LYNN WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
631 PINES KNOLL DR APT B, FORT PIERCE, FL 34982-5161
(478) 298-9008
Mailing address
631 PINES KNOLL DR APT B, FORT PIERCE, FL 34982-5161
(478) 298-9008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA001055
GA
224Z00000X
Occupational Therapy Assistant
Primary
OTA18445
FL
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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