Individual provider · Type 1 NPI

Monica Moore Jackman, OTD, MHS, OTR/L

Occupational Therapist · Port St. Lucie, FL

NPI number 1942499272 Active

Practice location

600 SW Darwin Blvd, Suite 101B
Port St. Lucie, FL 34953-3365

Fax (772) 905-8782

Mailing address

3242 SW Fillmore St
Port St. Lucie, FL 34953-3480

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200XOT9381 (FL)
Occupational Therapist Primary 225X00000XOT9381 (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 1942499272

Monica Moore Jackman, OTD, MHS, OTR/L's National Provider Identifier is 1942499272, issued on Oct 23, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 3, 2014.