Kimberly Smith Jackson, LOTR
Occupational Therapist in Slidell, LA. Individual provider (NPI-1).
NPI number1063619476
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1063619476
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Smith Jackson
- Credential
- LOTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OTT.200084 | LA | Yes |
Practice location
2012 Rubich LnSlidell, LA 70461-1361
Phone 985-643-2156
Mailing address
2012 Rubich LnSlidell, LA 70461-1361
Phone 985-643-2156
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All 28 Occupational Therapist providers in Slidell · All 2,622 providers in Slidell
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