Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DARRYL RAYNOR JACKSON JR.
ActiveMR. DARRYL RAYNOR JACKSON JR. is a Occupational Therapy Assistant healthcare provider located in HANNIBAL, Missouri. NPI 1205198025 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · HANNIBAL, MO
Registration Details
- NPI Number
- 1205198025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2012 (14.196549779506 yrs)
- Last Updated
- Jun 8, 2012
- License
-
201000472 (MO)
Practice Information
- Address
-
1734 MARKET STHANNIBAL, MO, 634014025Browse MO providers · Browse ZIP 63401
- Phone
- 5736290321
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in HANNIBAL, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. SHERRI M. WILEY | — | 1629124383 |
| MISS LOREN D. REUTENAUER | COTA | 1053685503 |
| KELLY O'BRIEN LILLARD | COTA/L | 1700628930 |
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.