Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Jackson, OTR/L

Individual provider Occupational Therapist · NPI 1376104851

Kimberly Jackson, OTR/L is an Occupational Therapist in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone: (386) 255-4568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 19785 (FL)

Record details

NPI number1376104851
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJune 25, 2019
Last updated in NPPESJuly 10, 2024
Certification dateJuly 2, 2024

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