Individual
JENNIFER MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 VILLACREST DR, CRESTVIEW, FL 32536-4267
(570) 847-3712
Mailing address
208 VILLACREST DR, CRESTVIEW, FL 32536-4267
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17931
FL
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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