Jackson, Leon Tremaine

Jackson, Leon Tremaine is an sole proprietor health care provider with primary practice located at 601 S Semoran Blvd , Orlando FL 32807-3120. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Jackson, Leon Tremaine can be contacted via phone (321) 368-2172.

Contact Information

Primary practice address
601 S Semoran Blvd Orlando FL 32807-3120
Phone: (321) 368-2172
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA14670 Florida

Profile Details

NPI number 1396120911
LBN Legal business name Jackson, Leon Tremaine
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2015
Last updated Jul 24th, 2015 - about 11 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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