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

Jennifer Bannon

Individual provider Occupational Therapy Assistant · NPI 1790218204

Jennifer Bannon is an Occupational Therapy Assistant in Indian Harbour Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

2040 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-3566
Phone: (321) 773-8989
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 OTA 15510 (FL)

Record details

NPI number1790218204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 11, 2017
Last updated in NPPESApril 11, 2017
Mailing address2040 Highway A1a, Suite 203, Indian Harbour Beach, FL 32937-3566

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