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Individual

ODESSA D CRAVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1204 GLENN DR, JACKSONVILLE, FL 32218-4916
(904) 428-8024
Mailing address
1204 GLENN DR, JACKSONVILLE, FL 32218-4916

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OT003504
GA
174400000X
Specialist
Primary
OT9904
FL

Other

Enumeration date
04/17/2007
Last updated
01/13/2012
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