Individual
DR. JESSICA MARIE ERNSTHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3036 25TH AVE N, SAINT PETERSBURG, FL 33713-3826
(727) 210-5981
Mailing address
1070 54TH AVE N, SAINT PETERSBURG, FL 33703-2744
(727) 210-5981
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14376
FL
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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