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Individual

MRS. HEATHER C. JACKSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
974 E MAIN ST, MAYO, FL 32066-5631
(386) 294-5000
(386) 294-5002
Mailing address
2882 NE COUNTY ROAD 354, MAYO, FL 32066-5327
(386) 294-1952
(386) 294-5002

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8375
FL

Other

Enumeration date
05/26/2006
Last updated
07/08/2007
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