SearchFlorida2081S0010X

Carol Jackson, OTA

NPI 1386370351 · on the registry since 2022 · sole proprietor

Practice

Address
10710 Se 160th Court Rd
Ocklawaha, FL 32179
Phone
(352) 750-6619

Registry record

Primary taxonomy
2081S0010X
2081S0010X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida