Individual
JACQUELINE R DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, CHT
Contact information
Practice address
8839 BRYAN DAIRY RD STE 240B, LARGO, FL 33777-1203
(727) 461-6026
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
(813) 558-6494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
02755
MD
225X00000X
Occupational Therapist
Primary
OT22505
FL
225XH1200X
Hand Occupational Therapist
02755
MD
225XH1200X
Hand Occupational Therapist
OT22505
FL
Other
Enumeration date
01/25/2006
Last updated
03/21/2025
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