NPI 1053650085

Ayesha Iman Jackson, OT

Practitioner Occupational Therapist Laurel, MD

Practice location

Address: 14409 Greenview Dr, Laurel, MD 20708-3293
Phone: (301) 498-8100
Fax: (301) 498-0009

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 06246 (MD)

Other Occupational Therapist providers in Maryland →

Registry record

NPI: 1053650085
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2013
Record last updated: 12 Feb 2013

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.