Individual
JACQUELINE KAY NIZAMOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR CHT
Contact information
Practice address
1715 EAGLE HARBOR PKWY STE A, FLEMING ISLAND, FL 32003-4324
(904) 215-6122
(904) 375-8627
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
2660
FL
Other
Enumeration date
02/25/2007
Last updated
07/21/2022
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