Individual
JENNYFER L TOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA-18807
FL
225X00000X
Occupational Therapist
Primary
OT-11524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962545723
CIGNA
FL
01
—
K0865
MEDICARE GROUP
FL
Enumeration date
02/14/2007
Last updated
08/27/2015
Update your record
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