Provider Demographics
NPI:1285098822
Name:BROW, JENNIFER (OTR)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:BROW
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 TRADEWINDS DR
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-7791
Mailing Address - Country:US
Mailing Address - Phone:386-785-6778
Mailing Address - Fax:386-220-8710
Practice Address - Street 1:75 FOX RIDGE CT STE G
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-2701
Practice Address - Country:US
Practice Address - Phone:386-785-6778
Practice Address - Fax:386-220-8710
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-10
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT17605225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist