Individual
MISS JENNIFER ELIZABETH CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
978 ABETO ST NE, PALM BAY, FL 32905-5905
(321) 427-2608
Mailing address
978 ABETO ST NE, PALM BAY, FL 32905-5905
(321) 427-2608
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10861
FL
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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