Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Rose Super, MOT

Individual provider Occupational Therapist · NPI 1912461211

Jessica Rose Super, MOT is an Occupational Therapist in Melbourne, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

689 S Apollo Blvd
Melbourne, FL 32901-1455
Phone: (321) 674-5035
Fax: (321) 674-5039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1954 Rockledge Blvd Ste 119, Rockledge, FL 32955-3761 — (321) 433-1500

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT19733 (FL)

Record details

NPI number1912461211
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT
Sole proprietorNo
NPI enumeratedJanuary 31, 2019
Last updated in NPPESFebruary 12, 2019

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