Individual
EMILY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1754 OXMOOR RD, BIRMINGHAM, AL 35209-4056
(205) 767-9207
Mailing address
1444 18TH ST S, BIRMINGHAM, AL 35205-6264
(334) 791-1098
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4451
AL
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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