Individual
CADENCE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 INDEPENDENCE AVE SE, WASHINGTON, DC 20003-1733
(803) 447-9762
Mailing address
2157 ASTORIA CIR APT 111, HERNDON, VA 20170-4063
(803) 447-9762
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200001251
DC
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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