Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUSAN J JACKSLAND, OTR
Active Sole ProprietorMRS. SUSAN J JACKSLAND, OTR is a Specialist healthcare provider located in MELBOURNE, Florida. NPI 1790803229 is currently active in the NPPES registry. Verify at CMS.
Specialist · MELBOURNE, FL
Registration Details
- NPI Number
- 1790803229
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.361862499821 yrs)
- Last Updated
- Nov 10, 2022
- Licenses
-
OT0004353 (FL)OT4353 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1990 NEW HAVEN AVENUESUITE 105MELBOURNE, FL, 32904Browse FL providers · Browse ZIP 32904
- Phone
- 3217731737
- Fax
- 3217731737
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in MELBOURNE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT A COOPER | M.D. | 1578566212 |
| DR. F MATUK | M.D.P.A. | 1811992266 |
| WILLIAM ROBERT ADDINGTON II | DO | 1396742961 |
| KANEEZ Z AGHA | MD | 1932156957 |
| DR. MICHAEL DIAZ | MD | 1295748176 |
| SHARIFA K MADDIX | MD | 1891874426 |
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.