Individual
JENNIFER MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1507 S TUTTLE AVE, SARASOTA, FL 34239-2608
(941) 366-0336
Mailing address
4910 21ST CT E, BRADENTON, FL 34203-3776
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9685
FL
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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