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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLENE SHEY JACKSON, COTA

Active Sole Proprietor

KELLENE SHEY JACKSON, COTA is a Occupational Therapy Assistant healthcare provider located in MAITLAND, Florida. NPI 1770616138 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MAITLAND, FL

Registration Details

NPI Number
1770616138
Provider Type
Individual
Gender
Female
NPI Issued
Mar 14, 2007 (19.377803860914 yrs)
Last Updated
Jan 10, 2010
License
9463 (FL)
Sole Proprietor
Yes

Practice Information

Address
1301 W MAITLAND BLVD
MAITLAND, FL, 327514338
Browse FL providers · Browse ZIP 32751
Phone
4076450034
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in MAITLAND, FL

Name Credential NPI
SHARON HYNSON 1245376045
CLAUDIA DURAN 1841317187
STACEY HALLETT 1033237094
JENNIFER SHAW 1942328836
LESLEY HEPP 1558489419
MISS ANDREA MARIE ANNIS C.O.T.A. 1881933463
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.