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Rashad Jackson, OTR

Occupational Therapist in Fayetteville, GA. Individual provider (NPI-1).

NPI number1164068292
StatusActive
Last updated in NPPESNov 25, 2019

Details

NPI
1164068292
Entity type
Individual (NPI-1)
Name
Rashad Jackson
Credential
OTR
Sex
Male
Sole proprietor
No
Enumeration date
Nov 25, 2019
Last updated
Nov 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

290 Highway 314 Ste B
Fayetteville, GA 30214-7813

Phone 404-994-7727

Mailing address

290 Highway 314 Ste B
Fayetteville, GA 30214-7813

Phone 404-994-7727

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