MS. Johnnethel M Fort, OTR/L

NPI #1184066771 in Jacksonville, Florida

Provider Information

NPI Number
1184066771
Entity Type
Individual
Name
MS. Johnnethel M Fort, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Gerontology
Credential
OTR/L
Enumeration Date
Jul 23, 2013
Last Updated
Jul 23, 2013

Practice Location

Address
8495 NORMANDY BLVD
State
Florida
ZIP Code
32221-6701
Phone
(904) 783-3749

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - GerontologyGerontology

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