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Individual

JENNIFER MILLER NEUENFELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1325 SAN MARCO BLVD STE 102, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32207-8549
(904) 858-7045
(904) 858-7047
Mailing address
PO BOX 40767, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32203-0767
(904) 376-3707
(904) 391-5807

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 16539
FL

Other

Enumeration date
08/29/2014
Last updated
02/26/2016
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