Individual
SIMONE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2510 PARK DR, NASHVILLE, TN 37214-2127
(248) 467-1219
Mailing address
2510 PARK DR, NASHVILLE, TN 37214-2127
(248) 467-1219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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