Individual
JENNIFER LYSAA WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9291 GLADES RD STE 201, BOCA RATON, FL 33434-3959
(561) 470-5437
Mailing address
21234 CLUBSIDE DR APT C, BOCA RATON, FL 33434-4757
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17884
FL
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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