Kellene Shey Jackson, COTA

NPI #1770616138 in Maitland, Florida

Provider Information

NPI Number
1770616138
Entity Type
Individual
Name
Kellene Shey Jackson, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Mar 14, 2007
Last Updated
Jan 10, 2010

Practice Location

Address
1301 W MAITLAND BLVD
State
Florida
ZIP Code
32751-4338
Phone
(407) 645-0034

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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