Individual
JENNA CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 VIA ROSINA, JUPITER, FL 33458-6935
(561) 601-4480
Mailing address
205 VIA ROSINA, JUPITER, FL 33458-6935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22789
FL
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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