Individual
JESSICA JACKREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
Mailing address
10209 HEATHER GLEN DR, JACKSONVILLE, FL 32256-9551
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
FL
225X00000X
Occupational Therapist
Primary
OT16590
FL
225XP0200X
Pediatric Occupational Therapist
OT006695
GA
Other
Enumeration date
09/12/2014
Last updated
11/19/2018
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