Individual
MS. JESSICA NICOLE MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ATR
Contact information
Practice address
3400 HUNTERS CREEK BLVD, ORLANDO, FL 32837-7230
(407) 650-3073
Mailing address
15851 SW 51ST ST, MIRAMAR, FL 33027-4976
(407) 595-3915
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
18-515
FL
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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