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Individual

DR. JUSTIN JAMISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD

Contact information

Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-9371
Mailing address
9910 MONTAGUE ST, TAMPA, FL 33626-1864
(813) 507-6416

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18913
FL

Other

Enumeration date
02/10/2018
Last updated
02/10/2018
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