Individual
JESSICA T AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD/OTR/L
Contact information
Practice address
13107 RUSHTONE CT, ORLANDO, FL 32832-6993
(407) 309-1988
Mailing address
13107 RUSHTONE CT, ORLANDO, FL 32832-6993
(407) 309-1988
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT21538
FL
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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