Individual
SAMONE J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3075 JOHN HAWKINS PKWY STE N-O, HOOVER, AL 35244-1085
(205) 202-0874
(205) 573-3709
Mailing address
3075 JOHN HAWKINS PKWY STE N-O, HOOVER, AL 35244-1085
(205) 202-0874
(205) 573-3709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4021
AL
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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