Individual
JENNIFER WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3505 WATERCHASE WAY E, JACKSONVILLE, FL 32224-0802
(904) 707-0311
Mailing address
459 AQUATIC DR, ATLANTIC BEACH, FL 32233-3835
(904) 707-0311
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
224Z00000X
Occupational Therapy Assistant
11952
FL
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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