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Organization

SHINE BRIGHT OCCUPATIONAL THERAPY, LLC

Active
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Organization

SHINE BRIGHT OCCUPATIONAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESTINY JACKSON OTR/L (OTR/L, OWNER)
(256) 898-5940
Entity
Organization

Contact information

Practice address
2006 FRANKLIN ST SE STE 209, HUNTSVILLE, AL 35801-4537
(256) 203-6698
Mailing address
268 JOHN HAROLD DR, MERIDIANVILLE, AL 35759-5404
(256) 898-5940

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—

Other

Enumeration date
08/19/2025
Last updated
08/19/2025
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