JACQUELYN COMMONS

BARTOW, FL
NPI1528183084
Former NameJACXQUELYN JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  COTA9762)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- JACQUELYN COMMONS COTA
2120 MARSHALL EDWARDS DR
BARTOW, FL 33830-6731
Phone number: 863-534-1862
Mailing Address
-- JACQUELYN COMMONS COTA
3210 BIG VALLEY DR
LAKELAND, FL 33813-4397
Phone number: 863-648-9781
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