ILEANA JACKSON, OT

Occupational Therapist

Active Individual
NPI: 1952188658

Practice Address

14901 BOGLE DR STE 100
Chantilly, VA 20151

Phone: (571) 346-3781

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes 0119009995 (VA)

Frequently Asked Questions

NPI 1952188658 is the National Provider Identifier for ILEANA JACKSON, OT, a Occupational Therapist provider located in Chantilly, VA. This NPI was enumerated on September 14, 2023.
ILEANA JACKSON, OT practices at 14901 BOGLE DR STE 100, Chantilly, VA 20151.

Quick Facts

NPI
1952188658
Type
Individual
Enumerated
Sep 14, 2023
Last Updated
Sep 14, 2023

Nearby Providers