JESSICA A DIVINE

MELBOURNE, FL
NPI1154605186
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA11802)
Enumeration Date2011-10-10
Last Update Date2011-10-10
Business Address
-- JESSICA A DIVINE
1800 PENN ST STE 12
MELBOURNE, FL 32901-2643
Phone number: 321-768-6800
Mailing Address
-- JESSICA A DIVINE
1800 PENN ST STE 12
MELBOURNE, FL 32901-2643
Phone number: 321-768-6800
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