NPI 1013228147

Kerriann Jackson

Practitioner Developmental Therapist Jamaica Plain, MA

Practice location

Address: 555 Amory St, Jamaica Plain, MA 02130-2652
Phone: (617) 383-6522
Fax: (617) 383-6520

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1013228147
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jun 2010
Record last updated: 23 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.