Individual provider · Type 1 NPI

Jerry Ennis Jr.

Occupational Therapist · Bradenton, FL

NPI number 1619399482 Active

Practice location

6406 21st Ave W
Bradenton, FL 34209-7850

Call (941) 798-8712 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT11536 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1619399482

Jerry Ennis Jr.'s National Provider Identifier is 1619399482, issued on Jan 14, 2014. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bradenton, FL. The record was last updated on Jan 14, 2014.