Individual provider · Type 1 NPI

Jennifer Brockman Jackson, OTR

Occupational Therapist · St. Petersburg, FL

NPI number 1679792501 Active

Practice location

4101 28th Ave N
St. Petersburg, FL 33713-2230

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT9272 (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 1679792501

Jennifer Brockman Jackson, OTR's National Provider Identifier is 1679792501, issued on Apr 25, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2007.