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

JOHNETTA JACKSON, PTA

Active Sole Proprietor

JOHNETTA JACKSON, PTA is a Occupational Therapist healthcare provider located in ROCKVILLE, Maryland. NPI 1992149066 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ROCKVILLE, MD

Registration Details

NPI Number
1992149066
Provider Type
Individual
Gender
Female
NPI Issued
Apr 19, 2013 (13.297830833304 yrs)
Last Updated
Apr 19, 2013
License
A2691 (MD)
Sole Proprietor
Yes

Practice Information

Address
9701 MEDICAL CENTER DR
ROCKVILLE, MD, 208503326
Browse MD providers · Browse ZIP 20850
Phone
3013151900
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in ROCKVILLE, MD

Name Credential NPI
MRS. LAUREN HADDOCK SMITH LPTA 1366568826
MRS. TRACI LYNN LEVINE LPTA 1164548145
KATHRINE CHRISTINE KOVACH-ZUKIN 1053522979
SANTO DEGENNARO 1093917353
LITA JANETTER MESSER PTA 1396920617
DIANE S. BRYSON L.AC., PTA 1639316201
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.