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

CAMILLE JACKSON

Active

CAMILLE JACKSON is a Occupational Therapy Assistant healthcare provider located in HIGHLAND, Utah. NPI 1902252950 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · HIGHLAND, UT

Registration Details

NPI Number
1902252950
Provider Type
Individual
Gender
Female
NPI Issued
May 9, 2016 (10.224708489029 yrs)
Last Updated
May 9, 2016
Licenses
9082424-4202 (UT)
3509 (CA)
10262 (NC)

Practice Information

Address
5199 W OAK GROVE LN
HIGHLAND, UT, 840039469
Browse UT providers · Browse ZIP 84003
Phone
3852230979
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in HIGHLAND, UT

Name Credential NPI
MELISSA MARIE WALL COTA/L 1821688037
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.