Individual
JADE MORGAN ANACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12966 SW 89TH AVE, MIAMI, FL 33176-5850
(786) 554-8920
Mailing address
14550 SW 29TH PL, DAVIE, FL 33330-1003
(954) 661-1774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17536
FL
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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