NPI 1003009937

Keith R Jackson, OTRL

Practitioner Occupational Therapist Leesburg, FL

Practice location

Address: 600 North Blvd W Suite D, Leesburg, FL 34748-5063
Phone: (352) 787-9300
Mailing address: 4024 Eagle Ridge Rd, Fruitland Park, FL 34731-5619

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT9471 (FL)

Other Occupational Therapist providers in Florida →

Registry record

NPI: 1003009937
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2007
Record last updated: 23 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.