Individual
JORDAN FARINACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1483 SW BOUGAINVILLEA AVE, PORT SAINT LUCIE, FL 34953-7302
(561) 348-4098
Mailing address
3485 SW FEROE AVE, PALM CITY, FL 34990-3467
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16111
FL
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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