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NPI Code Detail

MEDICARE: JANEE DURDEN OTR/L

MEDICARE: JANEE DURDEN 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 Therapist23851FL

General Provider Information

NPI Number : 1700653599
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANEE DURDEN OTR/L
Provider Business Mailing Address
First Line : 96090 STONEY GLEN CT
Second Line :
City : YULEE
State : FL
Zip : 32097-6573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22391 FLORA PARKE XING UNIT A
Second Line :
City : FERNANDINA BEACH
State : FL
Zip : 32034-8005
Country : US
Telephone Number : 904-321-9054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 12/11/2023

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Directions to “ JANEE DURDEN OTR/L” Practice Location

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