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NPI Profile for JACQUELINE K NIZAMOFF in FLEMING ISLAND, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1003942111 |
|
| Status | Active | |
| Credentials | OTR CHT | |
| Entity | Individual | |
| Enumeration date | 02/25/2007 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACQUELINE K NIZAMOFF, OTR CHT