Individual
JACQUELINE NDWARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OT/L
Contact information
Practice address
13931 SPOONBILL ST N, JACKSONVILLE, FL 32224-1388
(785) 331-7958
Mailing address
13931 SPOONBILL ST N, JACKSONVILLE, FL 32224-1388
(785) 331-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13320
FL
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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