Individual
MRS. JENNIFER DITSCHEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4001 STACK BLVD., MELBOURNE, FL 32901
(321) 676-9011
Mailing address
1670 WALDREP ST., PALM BAY, FL 32909
(978) 697-7080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12401
FL
225X00000X
Occupational Therapist
8352
MA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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