Individual
JANA PRESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10189 NW PEGGY JACOBS RD, BRISTOL, FL 32321-3505
(850) 447-2695
Mailing address
10189 NW PEGGY JACOBS RD, BRISTOL, FL 32321-3505
(850) 447-2695
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14484
FL
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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