Individual
DR. JENNIFER MARIE VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4903 NW 55TH BLVD, COCONUT CREEK, FL 33073-3306
(561) 288-0512
Mailing address
4903 NW 55TH BLVD, COCONUT CREEK, FL 33073-3306
(561) 288-0512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110479800
—
FL
Enumeration date
06/04/2014
Last updated
06/18/2021
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