Individual
JANE REALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 PALE MOON DR, PENSACOLA, FL 32507-7721
(850) 982-3419
(850) 492-7371
Mailing address
6000 PALE MOON DR, PENSACOLA, FL 32507-7721
(850) 082-3419
(850) 484-9525
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT3692
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT 3692
FL
Other
Enumeration date
06/11/2007
Last updated
12/02/2008
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