Individual
DENISE L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
31 HUNT RD, ORANGEBURG, NY 10962-2505
(845) 521-9544
Mailing address
14 CLEARVIEW RD, NEW CITY, NY 10956-2813
(845) 521-9544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021847
NY
225XP0200X
Pediatric Occupational Therapist
Primary
021847
NY
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
02/12/2018
Last updated
01/28/2026
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