NPI 1043925258

Courtney Jackson

Practitioner Environmental Modification Occupational Therapy Assistant Fayetteville, NC

Practice location

Address: 231 Treetop Dr # 301, Fayetteville, NC 28311-0606
Phone: (951) 870-5501
Mailing address: 411 N Ballance St, Saint Pauls, NC 28384-1211

Registered specialties

Environmental Modification Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224ZE0001X Licence 13569 (NC)

Other Occupational Therapy Assistant providers in North Carolina →

Registry record

NPI: 1043925258
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2023
Record last updated: 23 Jan 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.