Jesse Whalen

NPI #1225464480 in Palm Bay, Florida

Provider Information

NPI Number: 1225464480
Entity Type: Individual
Name: Jesse Whalen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapy Assistant - Environmental Modification
Enumeration Date: Sep 19, 2013
Last Updated: Sep 19, 2013

Practice Location

Address: 886 AACHEN AVE NW
City: Palm Bay
State: Florida
ZIP Code: 32907-9342
Phone: (321) 768-2453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant - Environmental Modification — Environmental Modification	224ZE0001X	Primary

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