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MRS. HEATHER C. JACKSON OTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1710933981

Individual Registrant:
MRS. HEATHER C. JACKSON OTR/L
Gender: F

Location and contact information for practice:
974 E MAIN ST  MAYO, FL 32066-5631 US
Tel: 386-294-5000  Fax: 386-294-5002

Contact information for business:
2882 NE COUNTY ROAD 354  MAYO, FL 32066-5327 US
Tel: 386-294-1952  Fax: 386-294-5002

Registration Information:
NPI: 1710933981
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
FLOT8375

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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