Individual
JENNIFER KATHLEEN BARACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1248 KINGSLEY AVE, ORANGE PARK, FL 32073-4699
(904) 269-7817
(904) 269-7817
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11825
FL
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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