JESSICA BLACK

TITUSVILLE, FL
NPI1760046973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  0TA14422)
Enumeration Date2019-04-24
Last Update Date2019-04-24
Business Address
JESSICA BLACK COTA
1705 JESS PARRISH CT
TITUSVILLE, FL 32796-2158
Phone number: 321-269-5720
Mailing Address
JESSICA BLACK COTA
1691 HENLEY RD NW
PALM BAY, FL 32907-6328
Phone number: