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Individual

DESTINY JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5763
AL

Other

Enumeration date
02/01/2022
Last updated
02/13/2026
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