Individual
RASHAD JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
290 HIGHWAY 314 STE B, FAYETTEVILLE, GA 30214-7813
(404) 994-7727
Mailing address
290 HIGHWAY 314 STE B, FAYETTEVILLE, GA 30214-7813
(404) 994-7727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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