Ms. Johnnethel M Fort
Occupational Therapist - Gerontology
8495 Normandy Blvd
Jacksonville
, Florida 32221-6701
Ms. Johnnethel M Fort
Occupational Therapist - Gerontology
8495 Normandy Blvd
Jacksonville
, Florida 32221-6701
(904) 786-2813
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Johnnethel M Fort
- 1065 Pebble Ridge Dr
- Jacksonville, FL
- Zip : 32220-1323
- Fax : (904) 786-2813
- Phone : (904) 343-1441
Second Address
- Ms. Johnnethel M Fort
- 8495 Normandy Blvd
- Jacksonville, FL
- Zip : 32221-6701
- Phone : (904) 783-3749
Reviews
FAQs
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Where did Ms. Johnnethel M Fort do her residency?
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Is Ms. Johnnethel M Fort a sole practitioner?
Is Ms. Johnnethel M Fort accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OT10738 | FL |
National Provider Identifier
| NPI | 1184066771 |
|---|---|
| Provider Name | Ms. Johnnethel M Fort |
| First Address | Jacksonville, FL 32220-1323 |
| Second Address | Jacksonville, FL 32221-6701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2013 |
| Last Update Date | 23/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.