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Organization
MONICA JACKMAN OTR/L, PA
Active
Organization
MONICA JACKMAN OTR/L, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA MOORE JACKMAN OTD, OTR/L (OCCUPATIONAL THERAPIST, OWNER)
(352) 283-2484
Entity
Organization
Contact information
Practice address
600 SW DARWIN BLVD STE 101B, PORT ST LUCIE, FL 34953-3365
(352) 283-2484
Mailing address
3242 SW FILLMORE ST, PORT SAINT LUCIE, FL 34953-3480
(352) 283-2484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9381
FL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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