IndividualActive
Johnnethel Fort, OTR/L
NPI 1184066771 · Gerontology Occupational Therapist · Jacksonville, FL
Provider details
- NPI number
- 1184066771
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT10738 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8495 Normandy Blvd
Jacksonville, FL 32221-6701
Phone: (904) 783-3749
Approximate (ZIP-level) locationGet directions
Mailing address
1065 Pebble Ridge Dr
Jacksonville, FL 32220-1323
Registry dates
- Enumerated
- 2013-07-23
- Last updated
- 2013-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.