Koffman, Jennifer Eleanor

Koffman, Jennifer Eleanor is an sole proprietor health care provider with primary practice located at 140 N Hilltop Drive , Titusville FL 32796. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Koffman, Jennifer Eleanor can be contacted via phone (321) 225-9540.

Contact Information

Primary practice address
140 N Hilltop Drive Titusville FL 32796
Phone: (321) 225-9540
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 10448 Florida

Profile Details

NPI number 1992095152
LBN Legal business name Koffman, Jennifer Eleanor
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2011
Last updated Apr 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992095152 NPPES
Florida Other 10448 OTA LICENSE

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