Individual
CORINNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1034 DUNN AVE, JACKSONVILLE, FL 32218-4830
(904) 757-1782
Mailing address
1538 GREENWAY PL, FLEMING ISLAND, FL 32003-8337
(904) 742-7023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
22499
FL
Other
Enumeration date
01/07/2019
Last updated
01/18/2022
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