Individual
JILLIAN MEIDENBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4902 CREEKSIDE DR STE A, CLEARWATER, FL 33760-4033
(727) 592-9100
Mailing address
4902 CREEKSIDE DR STE A, CLEARWATER, FL 33760-4033
(727) 592-9100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19452
FL
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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