Individual
MRS. ZIPPHRAH F JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3100 NORTHSIDE PKWY NW, ATLANTA, GA 30327-1563
(404) 480-6144
Mailing address
4749 BROOKWOOD VW, ATLANTA, GA 30349-7062
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002352
GA
Other
Enumeration date
12/19/2017
Last updated
10/18/2023
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