Individual
BRITTNEY GAIL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 CENTER ST, FAIRHAVEN, MA 02719-3822
(508) 999-4561
Mailing address
51 BERKELEY CT, MIDDLETOWN, RI 02842-5356
(508) 951-2491
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1170
RI
224Z00000X
Occupational Therapy Assistant
4093
MA
Other
Enumeration date
10/26/2020
Last updated
02/18/2021
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