Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Bradley Jennings

Individual provider Occupational Therapy Assistant · NPI 1649813593

Benjamin Bradley Jennings is an Occupational Therapy Assistant in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

619 S Marion Ave Pm & Rs Ot
Lake City, FL 32025
Phone: (386) 755-3016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA16231 (FL)

Record details

NPI number1649813593
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2019
Last updated in NPPESOctober 23, 2019
Mailing address119 Orange Ave, Leesburg, FL 34748-5138

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