Individual provider · Type 1 NPI

Jayne De la Rosa

Developmental Therapist · Jacksonville, FL

NPI number 1629469291 Active

Practice location

3311 Beach Blvd
Jacksonville, FL 32207-3704

Call (904) 396-1462 Map

Fax (904) 396-1199

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1629469291

Jayne De la Rosa's National Provider Identifier is 1629469291, issued on Feb 18, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 18, 2015.