Individual
JENNIFER SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1689 EAGLE HARBOR PKWY, SUITE D, ORANGE PARK, FL 32003-4802
(904) 637-0148
(904) 637-0155
Mailing address
970 SWEETWOOD CT, ORANGE PARK, FL 32065-8943
(904) 213-0822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11909
FL
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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