NPI 1023147402

Jeffrey S Jackson, COTA

Practitioner Occupational Therapy Assistant Cumming, GA

Practice location

Address: 1515 Brookmere Way, Cumming, GA 30040-1896
Phone: (734) 309-0244
Mailing address: 2222 Sullivan Trl, Easton, PA 18040-7958

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 002748 (GA)

Other Occupational Therapy Assistant providers in Georgia →

Registry record

NPI: 1023147402
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2007
Record last updated: 24 Oct 2023

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.