Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2546 | FL |
NPI | 1003947052 |
---|---|
Provider Name | Jennifer V Sutherland |
First Address | Jupiter, FL 33458 |
Second Address | Jupiter, FL 33458-7200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 08/07/2007 |