Basic Information
| Provider Information | |||||||||
| NPI: | 1699039768 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | HANDLER | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | MAE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13238 PECKY CYPRESS DR | ||||||||
| Address2: | |||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322235024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5169673502 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4600 BEACH BLVD | ||||||||
| Address2: | |||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322074764 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9043465100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2012 | ||||||||
| LastUpdateDate: | 07/03/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XP0200X | 63 015327 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics |
No ID Information.