Individual
JAIME MENDOZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3406 27TH PKWY, SARASOTA, FL 34235-8004
(941) 879-6168
Mailing address
3406 27TH PKWY, SARASOTA, FL 34235-8004
(941) 879-6168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24551
FL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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