Individual
JENNIFER HILDA PASCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
(863) 815-0488
Mailing address
8814 PEBBLEBROOKE DR, LAKELAND, FL 33810-1319
(863) 430-1513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10585
FL
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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