Individual
MR. TYLER BRADLEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
103 SCATTERSHOT LN, GREER, SC 29650-3310
(864) 275-4510
Mailing address
103 SCATTERSHOT LN, GREER, SC 29650-3310
(864) 275-4510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4318
SC
Other
Enumeration date
12/05/2007
Last updated
07/02/2023
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