Individual
JENNA ANN IANNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
124 JOHN KING RD, CRESTVIEW, FL 32539-8306
(850) 634-6020
Mailing address
16626 S 14TH PL, PHOENIX, AZ 85048-4713
(949) 257-7873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26606
FL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
01/26/2026
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