Independence Youth Center
Independence Youth Center is an Occupational Therapist in Jacksonville, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
14797 Philips Hwy Ste 103Jacksonville, FL 32256-3746
Phone: (904) 515-3735
Fax: (904) 467-3422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X |
Record details
| NPI number | 1821725060 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jana Sanford-Heller — Owner · (904) 515-3735 |
| NPI enumerated | August 8, 2022 |
| Last updated in NPPES | August 8, 2022 |
| Certification date | August 8, 2022 |
| Mailing address | 14797 Philips Hwy Ste 103, Jacksonville, FL 32256-3746 |
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