Individual
HARLEY CHRISTINA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2665 68TH SQ APT 208, VERO BEACH, FL 32966-8908
(772) 925-9681
Mailing address
2665 68TH SQ APT 208, VERO BEACH, FL 32966-8908
(772) 925-9681
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTA18831
FL
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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