Individual
BRIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 NORTHPOINT PKWY, WEST PALM BEACH, FL 33407-7904
(561) 712-1717
Mailing address
430 W 34TH ST, RIVIERA BEACH, FL 33404-3010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15679
FL
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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