Individual
MRS. CHANDLER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3875 POST RD, CUMMING, GA 30040-5354
(678) 971-0594
Mailing address
3670 WOFFORD DR, CUMMING, GA 30028-5963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008670
GA
Other
Enumeration date
10/10/2023
Last updated
07/22/2025
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