Individual
JESSICA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7940 VIA DELLAGIO WAY STE 142, ORLANDO, FL 32819-5400
(407) 745-4633
(407) 745-4635
Mailing address
3214 ACAPULCO DR, RIVERVIEW, FL 33578-3701
(813) 625-7461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20589
FL
Other
Enumeration date
03/17/2020
Last updated
08/03/2020
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