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Individual

MRS. JENNIFER LEIGH GALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
11701 SAN JOSE BLVD STE 210, JACKSONVILLE, FL 32223-0756
(904) 345-7450
Mailing address
9138 MORNINGTON DR, JACKSONVILLE, FL 32257-5258
(904) 403-9592

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13184
FL

Other

Enumeration date
01/06/2014
Last updated
01/06/2014
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