Individual
JESSICA RENA TINSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
950 PROVIDENCE RESERVE LOOP APT 204, LAKELAND, FL 33805-2498
(904) 424-2582
Mailing address
950 PROVIDENCE RESERVE LOOP APT 204, LAKELAND, FL 33805-2498
(904) 424-2582
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14978
FL
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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