Individual
KATHERINE JONES ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 MAGNOLIA AVE, NICEVILLE, FL 32578-9723
(520) 220-6697
Mailing address
1453 MAGNOLIA AVE, NICEVILLE, FL 32578-9723
(520) 220-6697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18582
FL
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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