Individual
ANNIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5722 METRO WAY SW STE B, WYOMING, MI 49519-9524
(616) 840-7529
(616) 840-9693
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
(616) 840-9690
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
12/22/2023
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