BENJAMIN BRADLEY JENNINGS

LAKE CITY, FL
NPI1649813593
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA16231)
Enumeration Date2019-10-23
Last Update Date2019-10-23
Business Address
BENJAMIN BRADLEY JENNINGS
619 S. MARION AVE PM & RS OT
LAKE CITY, FL 32025
Phone number: 386-755-3016
Mailing Address
BENJAMIN BRADLEY JENNINGS
119 ORANGE AVE
LEESBURG, FL 34748-5138
Phone number: 989-882-7305
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