Individual provider · Type 1 NPI

Jacqueline Grace Kettler, OTR/L

Occupational Therapist · St. Augustine, FL

NPI number 1003684119 Active

Practice location

150 Village Crossing Ct
St. Augustine, FL 32084-8697

Call (502) 694-5241 Map

Mailing address

2121 Golden Lake Loop
St. Augustine, FL 32084-5899

Other practice locations

  • 144 Cypress Point Pkwy, Palm Coast, FL 32164-7412 · (386) 247-0967

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X23228 (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 1003684119

Jacqueline Grace Kettler, OTR/L's National Provider Identifier is 1003684119, issued on Dec 18, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Augustine, FL. The record was last updated on Dec 18, 2023.