Individual provider · Type 1 NPI

Keith R. Jackson, OTR/L

Occupational Therapist · Leesburg, FL

NPI number 1003009937 Active

Practice location

600 North Blvd W, Suite D
Leesburg, FL 34748-5063

Mailing address

4024 Eagle Ridge Rd
Fruitland Park, FL 34731-5619

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT9471 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1003009937

Keith R. Jackson, OTR/L's National Provider Identifier is 1003009937, issued on Aug 23, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Leesburg, FL. The record was last updated on Aug 23, 2007.