NPI 1255039491

Andraya Storm Jackson, CTRS

Practitioner Recreation Therapist Washington, DC

Practice location

Address: 50 Irving St NW, Washington, DC 20422-0001
Phone: (202) 745-8000

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in District of Columbia →

Registry record

NPI: 1255039491
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2023
Record last updated: 17 Feb 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.