Individual
MRS. JENNIFER BROECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8139 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3000
(727) 375-0600
(727) 375-1117
Mailing address
8139 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3000
(727) 375-0600
(727) 375-1117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10402
FL
Other
Enumeration date
09/04/2007
Last updated
10/02/2007
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