Individual
JASMYNE R VANBUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
718 WALTON RD, DEFUNIAK SPGS, FL 32433-9503
(850) 741-6715
(850) 204-0489
Mailing address
2547 ANGEL CT, GULF BREEZE, FL 32563-5552
(850) 741-6715
(850) 204-0489
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
17110
FL
224Z00000X
Occupational Therapy Assistant
OTA17110
FL
225X00000X
Occupational Therapist
Primary
25696
FL
Other
Enumeration date
10/04/2019
Last updated
12/05/2024
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