National Provider Identifier Database

SUSAN J JACKSLAND, OTR – NPI #1790803229
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

SUSAN J JACKSLAND, OTR
1990 NEW HAVEN AVENUE
SUITE 105
MELBOURNE, FL32904
Phone: 321-773-1737
Fax: 321-773-1737
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SUSAN J JACKSLAND

NPI Number 1790803229
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 03/26/2007
Last updated 11/10/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: OT0004353
  • FL License #: OT4353
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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