MRS. Carol Anne Jackson, OTA

NPI #1386370351 in Ocklawaha, Florida

Provider Information

NPI Number
1386370351
Entity Type
Individual
Name
MRS. Carol Anne Jackson, OTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation - Sports Medicine
Credential
OTA
Enumeration Date
Aug 1, 2022
Last Updated
Aug 1, 2022

Practice Location

Address
10710 SE 160TH COURT RD
State
Florida
ZIP Code
32179-8906
Phone
(352) 750-6619

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Sports MedicineSports Medicine

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