JOHNNETHEL M FORT

JACKSONVILLE, FL
NPI1184066771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XG0600X Occupational Therapist Gerontology
(Licence: FL  OT10738)
Enumeration Date2013-07-23
Last Update Date2013-07-23
Business Address
MS. JOHNNETHEL M FORT OTR/L
8495 NORMANDY BLVD
JACKSONVILLE, FL 32221-6701
Phone number: 904-783-3749
Mailing Address
MS. JOHNNETHEL M FORT OTR/L
1065 PEBBLE RIDGE DR
JACKSONVILLE, FL 32220-1323
Phone number: 904-343-1441
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