Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLYMPHIA ANECIA JACKSON, MSPT
Active Sole ProprietorOLYMPHIA ANECIA JACKSON, MSPT is a Pediatric Occupational Therapy healthcare provider located in DOUGLASVILLE, Georgia. NPI 1225124712 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · DOUGLASVILLE, GA
Registration Details
- NPI Number
- 1225124712
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2006 (19.831388269303 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PT007580 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4352 MISSOULA PLDOUGLASVILLE, GA, 301358608Browse GA providers · Browse ZIP 30135
- Phone
- 6787151544
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
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.