Individual
CARISSA BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 1913, JACKSONVILLE, FL 32258-5228
(904) 886-3228
Mailing address
13241 BARTRAM PARK BLVD UNIT 1913, JACKSONVILLE, FL 32258-5228
(904) 886-3228
(727) 415-9630
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
26292
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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