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1679926240
JERICA DETSCH
TAMPA, FL
NPI
1679926240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL ota11998)
Enumeration Date
2016-07-19
Last Update Date
2016-10-14
Business Address
-- JERICA DETSCH cota/l
13005 COMMUNITY CAMPUS DR
TAMPA, FL 33625-4000
Phone number: 813-962-7138
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Mailing Address
-- JERICA DETSCH cota/l
13005 COMMUNITY CAMPUS DR
TAMPA, FL 33625-4000
Phone number: 863-307-2635
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