Jessica A Divine
Jessica A Divine is an Occupational Therapy Assistant in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
Practice location Address checks out
1800 Penn St Ste 12Melbourne, FL 32901-2643
Phone: (321) 768-6800
Fax: (321) 768-6858
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence OTA11802 (FL) |
|---|
Record details
| NPI number | 1154605186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 10, 2011 |
| Last updated in NPPES | October 10, 2011 |
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