Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID JACKSON JR., PTA
ActiveDAVID JACKSON JR., PTA is a Occupational Therapist healthcare provider located in LAKE CITY, South Carolina. NPI 1104098904 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAKE CITY, SC
Registration Details
- NPI Number
- 1104098904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2008 (18.34264802814 yrs)
- Last Updated
- Apr 1, 2008
- License
-
1706 (SC)
Practice Information
- Address
-
258 N RON MCNAIR BLVDLAKE CITY, SC, 295602462Browse SC providers · Browse ZIP 29560
- Phone
- 8433746198
- Fax
- 8433746180
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LAKE CITY, SC
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES DAVID CLARK | PTA | 1285845362 |
| MRS. CHRISTINA LYNN CARTER | PTA | 1619147873 |
| MS. ROBYN DYSON STEPHENSON | — | 1104079532 |
| MS. TIFFANY RENEE GODBOLT | P.T.A. | 1952747107 |
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.