SearchFlorida174400000X

Susan Jacksland, OTR

NPI 1790803229 · on the registry since 2007 · sole proprietor

Practice

Address
1990 New Haven Avenue
Suite 105
Melbourne, FL 32904
Phone
(321) 773-1737
Fax
(321) 773-1737

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
174400000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-10

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