Individual
MARY BRITTANY REVELL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
120 STEVENS COVE DR, MOODY, AL 35004-2699
(205) 573-5383
(205) 573-5383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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