Individual
BRIAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
12581 MILSTEAD WAY STE 302, WOODBRIDGE, VA 22192-5446
(703) 239-7336
Mailing address
5406 MERSEA CT, BURKE, VA 22015-1929
(571) 774-2867
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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