Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANA M JACKSON, PTA
ActiveBREANA M JACKSON, PTA is a Occupational Therapist healthcare provider located in LAUREL, Maryland. NPI 1952018541 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAUREL, MD
Registration Details
- NPI Number
- 1952018541
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2022 (3.7568146086329 yrs)
- Last Updated
- Nov 2, 2022
Practice Information
- Address
-
14205 PARK CENTER DR STE 204LAUREL, MD, 207075252Browse MD providers · Browse ZIP 20707
- Phone
- 3018530093
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LAUREL, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. SHARON DIANE BAXLEY | PTA | 1831230283 |
| MR. WILLIAM VINCENT CARTER | L.P.T.A. | 1255453650 |
| MIRIAM R SNYDER | PTA | 1336362730 |
| MISS AIESHA LIVENIA THOMAS | LPTA | 1649481128 |
| MAREKA WHITE | — | 1750584504 |
| KADIJATU JALLOH | — | 1639372394 |
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.