NPI 1063760312

Jackie Flores, COTAL

Practitioner Occupational Therapy Assistant Bradenton, FL

Practice location

Address: 2910 62nd St W, Bradenton, FL 34209-7045
Phone: (941) 704-3321

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA12383 (FL)

Other Occupational Therapy Assistant providers in Florida →

Registry record

NPI: 1063760312
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2012
Record last updated: 16 Aug 2012

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.