Individual
SAVANNAH LEIGH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
222 LADEAN CT STE E, SIMPSONVILLE, SC 29680-7504
(864) 408-9509
Mailing address
103 SPARTAN CT, GREER, SC 29650-3016
(864) 275-1457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4161
SC
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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