JERRY ENNIS

BRADENTON, FL
NPI1619399482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT11536)
Enumeration Date2014-01-14
Last Update Date2014-01-14
Business Address
-- JERRY ENNIS
6406 21ST AVE W
BRADENTON, FL 34209-7850
Phone number: 941-798-8712
Mailing Address
-- JERRY ENNIS
6406 21ST AVE W
BRADENTON, FL 34209-7850
Phone number:
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