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

MS. SALLY JACKSON, O.T.

Active Sole Proprietor

MS. SALLY JACKSON, O.T. is a Pediatric Occupational Therapist healthcare provider located in KENNESAW, Georgia. NPI 1538383419 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · KENNESAW, GA

Registration Details

NPI Number
1538383419
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2007 (19.331795060658 yrs)
Last Updated
Aug 17, 2016
License
OT001398 (GA)
Sole Proprietor
Yes

Practice Information

Address
5150 STILESBORO RD NW
SUITE 430
KENNESAW, GA, 301527744
Browse GA providers · Browse ZIP 30152
Phone
7706300053
Fax
7702182201
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in KENNESAW, GA

Name Credential NPI
MS. CAROL S BOCZARSKI OTR/L 1609833946
MRS. MISTY DELAINE DAVIS OTR 1407923048
MRS. REBECCA MIZE OTRL 1821158973
STEPHANIE WATTS OTR 1417095092
TRACY MEDLIN OTR/L 1801043971
DONNA SCHULMAN OTR/L 1174763056
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.