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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SUSAN J JACKSLAND · (Female)

NPI # 1790803229
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 03/26/2007
Last updated 11/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OT0004353
  • FL License # OT4353
Hospital affiliation(s) Not Available
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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