Individual
MR. JAMES JOHN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,OTR,CHT
Contact information
Practice address
9415 SUNSET DR, STE 111, MIAMI, FL 33173-5427
(786) 507-8278
(813) 265-2504
Mailing address
3903 NORTHDALE BLVD, STE 111W, TAMPA, FL 33624-1864
(813) 418-7350
(813) 265-2504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 632
OT LICENSE
FL
Enumeration date
10/06/2006
Last updated
01/13/2013
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