Individual
JACQUELINE L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 TOMOKA MEADOWS BLVD, ORMOND BEACH, FL 32174-4432
(386) 843-9885
Mailing address
35 TOMOKA MEADOWS BLVD, ORMOND BEACH, FL 32174-4432
(386) 843-9885
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20517
FL
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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