Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN JACKSON
ActiveJUSTIN JACKSON is a Occupational Therapist healthcare provider located in CORDOVA, South Carolina. NPI 1013470285 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CORDOVA, SC
Registration Details
- NPI Number
- 1013470285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2019 (7.3240342599923 yrs)
- Last Updated
- Apr 12, 2019
- License
-
4014 (SC)
Practice Information
- Address
-
22 EUGENIA CTCORDOVA, SC, 290399635Browse SC providers · Browse ZIP 29039
- Phone
- 8037075824
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.