JEANINE BROCK

SAINT PETERSBURG, FL
NPI1992484000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA16397)
Enumeration Date2023-07-17
Last Update Date2023-07-17
Business Address
JEANINE BROCK COTA/L
2471 16TH AVE N
SAINT PETERSBURG, FL 33713-5627
Phone number: 727-303-5140
Mailing Address
JEANINE BROCK COTA/L
2471 16TH AVE N
SAINT PETERSBURG, FL 33713-5627
Phone number: 727-303-5140
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