Individual
JONATHAN SECLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT RL
Contact information
Practice address
1 OAKWOOD BLVD STE 130, HOLLYWOOD, FL 33020-1937
(954) 925-3844
Mailing address
3336 OLD OAK LN, HOLLYWOOD, FL 33021-8438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22466
FL
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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