Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETHANY I JACKSON
Active Sole ProprietorBETHANY I JACKSON is a Occupational Therapist healthcare provider located in IRVINGTON, New Jersey. NPI 1669830204 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · IRVINGTON, NJ
Registration Details
- NPI Number
- 1669830204
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2016 (10.53767444227 yrs)
- Last Updated
- Feb 9, 2016
- License
-
40QB00293000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 MARSHALL STAPT 5AIRVINGTON, NJ, 071118701Browse NJ providers · Browse ZIP 07111
- Phone
- 2013443960
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in IRVINGTON, NJ
| Name | Credential | NPI |
|---|---|---|
| DENISE BOLEY | — | 1316357023 |
| TRICIA RILEY | PTA | 1417786104 |
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.