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

DANIEL JACKSON, COTA

Active Sole Proprietor

DANIEL JACKSON, COTA is a Occupational Therapy Assistant healthcare provider located in WINTER HAVEN, Florida. NPI 1780043091 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · WINTER HAVEN, FL

Registration Details

NPI Number
1780043091
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2016 (10.313315032118 yrs)
Last Updated
Sep 27, 2022
Licenses
2008034752 (MO)
OTA18819 (FL)
Sole Proprietor
Yes

Practice Information

Address
4208 GLENNS PASS
WINTER HAVEN, FL, 338842443
Browse FL providers · Browse ZIP 33884
Phone
7066992894
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in WINTER HAVEN, FL

Name Credential NPI
BEVERLY WEDEMAN 1134252562
ELLEN DANITA THOMAS OTA 1295868511
MR. LEWAYNE A YOUNG COTA 1073725719
WILLIAM CARLTON OTA 1326246745
MATTHEW CARL WRIGHT COTA/L 1891941233
KRYSTI MICHELLE ROWKER COTA 1588812424
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.