DR. Jacqueline Grace Kettler, OTR/L

NPI #1003684119 in Saint Augustine, Florida

Provider Information

NPI Number: 1003684119
Entity Type: Individual
Name: DR. Jacqueline Grace Kettler, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Dec 18, 2023
Last Updated: Dec 18, 2023

Practice Location

Address: 150 VILLAGE CROSSING CT
City: Saint Augustine
State: Florida
ZIP Code: 32084-8697
Phone: (502) 694-5241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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