Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA RAYE JACKSON, COTA/L
Active Sole ProprietorMRS. AMANDA RAYE JACKSON, COTA/L is a Occupational Therapy Assistant healthcare provider located in MERIDIAN, Mississippi. NPI 1427625748 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MERIDIAN, MS
Registration Details
- NPI Number
- 1427625748
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2021 (5.159978598534 yrs)
- Last Updated
- Jun 6, 2021
- License
-
TA2871 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3716 HIGHWAY 39 NMERIDIAN, MS, 393011013Browse MS providers · Browse ZIP 39301
- Phone
- 6014827164
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MERIDIAN, MS
| Name | Credential | NPI |
|---|---|---|
| DENITRA COLE | — | 1932340296 |
| SHAKEDA MCGHEE | — | 1295499887 |
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.