Provider Demographics
NPI:1841565520
Name:DOTTIN, JARRETT JAMAL (OTR/L, MOT, CLWT)
Entity Type:Individual
Prefix:MR
First Name:JARRETT
Middle Name:JAMAL
Last Name:DOTTIN
Suffix:
Gender:M
Credentials:OTR/L, MOT, CLWT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17580 NECTAR FLUME DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-5852
Mailing Address - Country:US
Mailing Address - Phone:727-947-2128
Mailing Address - Fax:
Practice Address - Street 1:17580 NECTAR FLUME DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-5852
Practice Address - Country:US
Practice Address - Phone:727-947-2128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10274225X00000X
FLOT15204225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist