Amanda Jackson, OTR/L CPAM
Occupational Therapist in Brookhaven, GA. Individual provider (NPI-1).
NPI number1982143467
StatusActive
Last updated in NPPESFeb 17, 2017
Details
- NPI
- 1982143467
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanda Jackson
- Credential
- OTR/L CPAM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2017
- Last updated
- Feb 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT006270 | GA | Yes |
Practice location
5305 Reserve Dr NeBrookhaven, GA 30319-5924
Phone 770-634-8410
Mailing address
5305 Reserve Dr NeBrookhaven, GA 30319-5924
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All 18 Occupational Therapist providers in Brookhaven · All 830 providers in Brookhaven
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