Individual
MEGAN MICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1240 N NAPPANEE ST, ELKHART, IN 46514-1732
(574) 931-2803
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007276A
IN
Other
Enumeration date
10/23/2020
Last updated
12/11/2025
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