Individual
AKEBA M JACKSON-HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4813 KREOLE AVE, MOSS POINT, MS 39563-3532
(228) 623-0838
(228) 214-5539
Mailing address
PO BOX 5408, MOSS POINT, MS 39563-1408
(228) 623-0838
(228) 214-5539
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1357
MS
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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