Individual
JENNIFER DIANE EDMISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1320 OAKFIELD DR, BRANDON, FL 33511-4860
(727) 803-1102
(727) 502-6027
Mailing address
260 1ST AVE S STE 200, SAINT PETERSBURG, FL 33701-4364
(727) 803-1102
(727) 502-6027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10795
FL
Other
Enumeration date
09/24/2019
Last updated
11/08/2021
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