Otavia Jack
Otavia Jack is an Occupational Therapy Assistant in Kissimmee, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
311 Salmon CtKissimmee, FL 34759-4724
Phone: (321) 614-7538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X |
|---|
Record details
| NPI number | 1104389634 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 11, 2019 |
| Last updated in NPPES | April 11, 2019 |
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