Kellene Shey Jackson in Maitland - Occupational Therapy Assistant
Kellene Shey Jackson - NPI 1770616138
Kellene Shey Jackson is a Occupational Therapy Assistant in Maitland, Florida. Kellene Shey Jackson practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Kellene Shey Jackson is 1770616138. The last update date is 2010-01-10.
Kellene Shey Jackson's current location address is 1301 W Maitland Blvd, Maitland, Florida. You can contact this provider via phone number 4076450034. The mailing address for Kellene Shey Jackson is 1301 W Maitland Blvd, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellene Shey Jackson |
|---|---|
| Address | 1301 W Maitland Blvd, Maitland, Florida |
| Phone Number | 4076450034 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1770616138 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2010-01-10 |
Provider Mailing Address Detail
| Address | 1301 W Maitland Blvd |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327514338 |
| Phone Number | 4076450034 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 9463 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Post Comment/ Review Below
What is the unique identification code assigned to Kellene Shey Jackson by the Centers for Medicare & Medicaid Services?
The Kellene Shey Jackson has been issued the NPI (National Provider Identifier) 1770616138. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kellene Shey Jackson is geographically located?
The Kellene Shey Jackson is physically situated at the following location: 1301 W Maitland Blvd, Maitland, FL, 327514338.
What is Kellene Shey Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kellene Shey Jackson is Occupational Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 224Z00000X.
On what date was the 1770616138 assigned to Kellene Shey Jackson?
The Kellene Shey Jackson was issued its 1770616138 on 2007-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kellene Shey Jackson last refreshed?
The information related to the Kellene Shey Jackson, including its address, specialty, and other relevant details, was last updated on 2010-01-10.
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