Individual
JENNIFER RENEE NITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2736 UNIVERSITY BLVD W STE 6, JACKSONVILLE, FL 32217-2170
(352) 422-1126
(904) 202-0112
Mailing address
2736 UNIVERSITY BLVD W STE 6, JACKSONVILLE, FL 32217-2170
(352) 422-1126
(904) 202-0112
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT13794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001551200
—
FL
Enumeration date
11/04/2009
Last updated
03/13/2025
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