Shenika Laverne Jackson in Leesburg - Occupational Therapist
Shenika Laverne Jackson - NPI 1184830838
Shenika Laverne Jackson is a Occupational Therapist in Leesburg, Georgia. Shenika Laverne Jackson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Shenika Laverne Jackson is 1184830838. The last update date is 2007-07-08.
Shenika Laverne Jackson's current location address is 159 Winding Way Apt A, Leesburg, Georgia. You can contact this provider via phone number 2293368255 and fax number 2293365878. The mailing address for Shenika Laverne Jackson is 159 Winding Way Apt A, Leesburg, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shenika Laverne Jackson |
|---|---|
| Address | 159 Winding Way Apt A, Leesburg, Georgia |
| Phone Number | 2293368255 |
| Fax Number | 2293365878 |
| Sole Proprietor | N |
| Credentials | O.T. |
NPI Number Detail
| NPI Number | 1184830838 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 159 Winding Way Apt A |
|---|---|
| City | Leesburg |
| State | Georgia (GA) |
| Post Code | 317635097 |
| Phone Number | 2293368255 |
| Fax Number | 2293365878 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT002552 |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
|
Post Comment/ Review Below
What is the Shenika Laverne Jackson's unique identification number?
The Shenika Laverne Jackson has been assigned the NPI (National Provider Identifier) Number 1184830838 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Shenika Laverne Jackson?
The Shenika Laverne Jackson is physically situated at 159 Winding Way Apt A, in the city of Leesburg, state of GA, with the postal code 317635097.
What is the Shenika Laverne Jackson's area of specialization and corresponding taxonomy classification?
The Shenika Laverne Jackson's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
When was the Shenika Laverne Jackson's 1184830838 issued?
The Shenika Laverne Jackson's 1184830838 was issued on 2007-05-16.
When was the information related to Shenika Laverne Jackson most recently updated or refreshed?
The details pertaining to the Shenika Laverne Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.