Individual
JESSICA CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CHESAPEAKE DR, TARPON SPRINGS, FL 34689-2515
(727) 934-4629
Mailing address
7616 W COURTNEY CAMPBELL CSWY UNIT 251, TAMPA, FL 33607-1538
(407) 334-0894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21003
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
0210501
NY
Other
Enumeration date
04/24/2017
Last updated
08/10/2020
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