Individual provider · Type 1 NPI

Douglene J. Jackson, PhD, OTR/L, LMT, ATP

Occupational Therapist · Pembroke Pines, FL

NPI number 1275655482 Active

Practice location

240 NW 207th Way
Pembroke Pines, FL 33029-3509

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMA29727 (FL)
Occupational Therapist 225X00000XOT003627 (GA)
Other Technician 247200000XNone listed
Occupational Therapist Primary 225X00000XOT10451 (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 1275655482

Douglene J. Jackson, PhD, OTR/L, LMT, ATP's National Provider Identifier is 1275655482, issued on Apr 6, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Sep 6, 2019.