DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA JACKSON

Active Sole Proprietor

AMANDA JACKSON is a Occupational Therapist healthcare provider located in HAUGHTON, Louisiana. NPI 1285905240 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · HAUGHTON, LA

Registration Details

NPI Number
1285905240
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2012 (14.551162025978 yrs)
Last Updated
Jan 23, 2012
Licenses
OTT.200281 (LA)
OTR1907 (AR)
Sole Proprietor
Yes

Practice Information

Address
1760 TURNING LEAF TRL
HAUGHTON, LA, 710379531
Browse LA providers · Browse ZIP 71037
Phone
5012492247
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in HAUGHTON, LA

Name Credential NPI
MRS. LISA LYNN SMITH OTR 1649753120
SUZANNE PRIM LANCASTER 1124659610
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.