Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. THEA ELIZABETH JACK, MPT,PCS
Active Sole ProprietorMRS. THEA ELIZABETH JACK, MPT,PCS is a Pediatric Occupational Therapy healthcare provider located in SAVANNAH, Georgia. NPI 1336352079 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · SAVANNAH, GA
Registration Details
- NPI Number
- 1336352079
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2007 (19.247761386899 yrs)
- Last Updated
- Jul 31, 2020
- Licenses
-
PT009479 (GA)QA01095200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 MALL CT STE BSAVANNAH, GA, 314063691Browse GA providers · Browse ZIP 31406
- Phone
- 9127130277
- Fax
- 8884293741
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
- Additional Specialty
- Pediatric Occupational Therapy
Other Pediatric Occupational Therapy Providers in SAVANNAH, GA
| Name | Credential | NPI |
|---|---|---|
| WANDA SWAN | PT | 1578530861 |
| MRS. ELIZABETH GOLD GLASS | MPT | 1033224415 |
| MRS. PAULA GREEN | PT | 1184783342 |
| MRS. JENNIFER ANN SMITH | P.T. | 1558539015 |
| DR. CYNTHIA ANDREWS LADY | DPT | 1881935393 |
| MRS. LAURA ANN DOUGLAS | PT | 1689915100 |
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.