Individual
JEONNA D WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5282 BRIGHTON PARK LN, JACKSONVILLE, FL 32210-9260
(904) 508-2001
Mailing address
5282 BRIGHTON PARK LN, JACKSONVILLE, FL 32210-9260
(904) 508-2001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16491
FL
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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