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NPI Code Detail

MEDICARE: JENNIFER MARY HOMAN OTR/L

MEDICARE:   JENNIFER MARY HOMAN  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT9505FL

General Provider Information

NPI Number : 1538343850
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MARY HOMAN OTR/L
Provider Business Mailing Address
First Line : 345 BAYSHORE BLVD
Second Line : UNIT 345
City : TAMPA
State : FL
Zip : 33606-2344
Country : US
Telephone Number : 813-361-6892
Fax Number :
Provider Business Practice Location Address
First Line : 345 BAYSHORE BLVD
Second Line : UNIT 345
City : TAMPA
State : FL
Zip : 33606-2344
Country : US
Telephone Number : 813-361-6892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2007
Last Update Date : 12/21/2007

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Directions to “ JENNIFER MARY HOMAN OTR/L” Practice Location

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