Individual provider · Type 1 NPI

Jessica Anne Polack, MOT

Occupational Therapist · Brandon, FL

NPI number 1265002232 Active

Practice location

206 Ridgewood Ave
Brandon, FL 33510-4617

Call (813) 662-1060 Map

Mailing address

11923 Summer Springs Dr
Riverview, FL 33579-4079

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT21591 (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 1265002232

Jessica Anne Polack, MOT's National Provider Identifier is 1265002232, issued on Jun 30, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Brandon, FL. The record was last updated on Jun 30, 2021.