MS. STACI JACKSON, OTR/L
Occupational Therapist
Active
Individual
NPI: 1154508406
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | OT003559 (GA) |
Frequently Asked Questions
NPI 1154508406 is the National Provider Identifier for MS. STACI JACKSON, OTR/L, a Occupational Therapist provider located in Snellville, GA. This NPI was enumerated on January 29, 2008.
MS. STACI JACKSON, OTR/L practices at 2386 CLOWER ST, BLD E, STE 102, Snellville, GA 30078.
Quick Facts
- NPI
- 1154508406
- Type
- Individual
- Enumerated
- Jan 29, 2008
- Last Updated
- Jan 29, 2008
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