Jackson, Kimberly

Jackson, Kimberly is an sole proprietor health care provider with primary practice located at 1219 Dunn Ave , Daytona Beach FL 32114-2405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson, Kimberly can be contacted via phone (386) 255-4568.

Contact Information

Primary practice address
1219 Dunn Ave Daytona Beach FL 32114-2405
Phone: (386) 255-4568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 19785 Florida

Profile Details

NPI number 1376104851
LBN Legal business name Jackson, Kimberly
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2019
Last updated Jul 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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