Individual
MAKEDA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
5919 HIGHDALE CIR APT D, ALEXANDRIA, VA 22310-5421
(760) 532-8608
Mailing address
5919 HIGHDALE CIR APT D, ALEXANDRIA, VA 22310-5421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009416
VA
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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