KELLENE SHEY JACKSON

MAITLAND, FL
NPI1770616138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  9463)
Enumeration Date2007-03-14
Last Update Date2010-01-10
Business Address
-- KELLENE SHEY JACKSON COTA
1301 W MAITLAND BLVD
MAITLAND, FL 32751-4338
Phone number: 407-645-0034
Mailing Address
-- KELLENE SHEY JACKSON COTA
315 HOWARD BLVD
LONGWOOD, FL 32750-4616
Phone number: 407-402-3203