IndividualActive
Jesse Whalen
NPI 1225464480 · Environmental Modification Occupational Therapy Assistant · Palm Bay, FL
Provider details
- NPI number
- 1225464480
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 307117 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
886 Aachen Ave Nw
Palm Bay, FL 32907-9342
Phone: (321) 768-2453
Approximate (ZIP-level) locationGet directions
Mailing address
886 Aachen Ave
Palm Bay, FL 32907
Registry dates
- Enumerated
- 2013-09-19
- Last updated
- 2013-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.