Individual
MRS. JESSICA POWERS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
4339 ROOSEVELT BLVD, JACKSONVILLE, FL 32210-2004
(904) 389-8570
Mailing address
4339 ROOSEVELT BLVD, JACKSONVILLE, FL 32210-2004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 13111
FL
Other
Enumeration date
12/02/2009
Last updated
06/15/2011
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