Individual
MRS. TAYLOR LEEANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3710 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3426
(614) 457-1100
Mailing address
3496 RED HOOK XING APT B, COLUMBUS, OH 43219-6276
(740) 341-4870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA007318
OH
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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