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NPI Code Detail

MEDICARE: JAMIE-ANNE DENNIS

MEDICARE:   JAMIE-ANNE  DENNIS
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
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1962972190
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE-ANNE DENNIS
Provider Business Mailing Address
First Line : 202 AVENUE O NE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-2409
Country : US
Telephone Number : 863-293-3103
Fax Number :
Provider Business Practice Location Address
First Line : 202 AVENUE O NE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-2409
Country : US
Telephone Number : 863-293-3103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2018
Last Update Date : 11/30/2018

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Directions to “ JAMIE-ANNE DENNIS ” Practice Location

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