Individual
MRS. JENNIFER LEE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6508 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Mailing address
6508 GUNN HWY, INDEPENDENT LIVING INC, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14436301
CITRUS HEALTH CARE
FL
01
—
356785
WELLCARE
FL
Enumeration date
01/11/2007
Last updated
07/08/2007
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