MR. Keith R Jackson, OTR/L

NPI #1003009937 in Leesburg, Florida

Provider Information

NPI Number
1003009937
Entity Type
Individual
Name
MR. Keith R Jackson, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Aug 23, 2007
Last Updated
Aug 23, 2007

Practice Location

Address
600 NORTH BLVD W
Address 2
SUITE D
State
Florida
ZIP Code
34748-5063
Phone
(352) 787-9300

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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