Individual provider · Type 1 NPI

Susan J. Jacksland, OTR

Specialist · Melbourne, FL

NPI number 1790803229 Active

Practice location

1990 New Haven Avenue, Suite 105
Melbourne, FL 32904

Call (321) 773-1737 Map

Fax (321) 773-1737

Mailing address

3417 Slate Street
West Melbourne, FL 32904-7593

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XOT0004353 (FL)
Specialist Primary 174400000XOT4353 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1790803229

Susan J. Jacksland, OTR's National Provider Identifier is 1790803229, issued on Mar 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Melbourne, FL. The record was last updated on Nov 10, 2022.