Individual
HUANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
322 CAMBRIDGE DR, BREVARD, NC 28712-9111
(828) 424-0061
Mailing address
322 CAMBRIDGE DR, BREVARD, NC 28712-9111
(828) 424-0061
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
390
NC
Other
Enumeration date
05/09/2016
Last updated
03/25/2025
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