Daniel Jackson, COTA
NPI #1780043091 in Winter Haven, Florida
Provider Information
- NPI Number
- 1780043091
- Entity Type
- Individual
- Name
- Daniel Jackson, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Feb 15, 2016
- Last Updated
- Sep 27, 2022
Practice Location
- Address
- 4208 GLENNS PASS
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33884-2443
- Phone
- (706) 699-2894
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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