Kettler, Jacqueline Grace
Kettler, Jacqueline Grace is an individual health care provider with primary practice located at 150 Village Crossing Ct , Saint Augustine FL 32084-8697. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kettler, Jacqueline Grace can be contacted via phone (502) 694-5241.Contact Information
Primary practice address
150 Village Crossing Ct
Saint Augustine FL 32084-8697
Phone: (502) 694-5241
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 23228 | Florida |
Profile Details
| NPI number | 1003684119 |
|---|---|
| LBN Legal business name | Kettler, Jacqueline Grace |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2023 |
| Last updated | Dec 18th, 2023 - about last year |
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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