Individual
MS. JESSICA LYNN BEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A/L
Contact information
Practice address
2040 FLORIDA HWY A1A, SUITE 203, INDIAN HARBOUR BEACH, FL 32937
(321) 773-8989
Mailing address
2218 MACEDO RD NE, PALM BAY, FL 32907-2645
(321) 514-7997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12363
FL
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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