Individual
JENNIFER PETSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 JACKSON AVE, SATELLITE BEACH, FL 32937-2925
(081) 332-1499
Mailing address
3447 CAPPIO DR, MELBOURNE, FL 32940-1315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16307
FL
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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