Individual
JENNIFER CHRISTINE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 CORONA DR, HOLIDAY, FL 34690-2212
(727) 505-1286
Mailing address
3016 CORONA DR, HOLIDAY, FL 34690-2212
(727) 505-1286
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16401
FL
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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