Individual
JAMIE ALTENBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2494 13TH AVE N APT 308, SAINT PETERSBURG, FL 33713-5802
(419) 236-2439
Mailing address
2494 13TH AVE N APT 308, SAINT PETERSBURG, FL 33713-5802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14416
FL
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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