Individual
JESSICA LEIGH TATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13200 MCCORMICK DR STE E-1, TAMPA, FL 33626-3010
(813) 814-5971
(813) 814-5972
Mailing address
13200 MCCORMICK DR STE E-1, TAMPA, FL 33626-3010
(813) 814-5971
(813) 814-5972
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18073
FL
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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