Individual
REBEKAH PAGE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
218 TIMBER RIDGE RD, JONESBOROUGH, TN 37659-5805
(423) 946-1529
Mailing address
218 TIMBER RIDGE RD, JONESBOROUGH, TN 37659-5805
(423) 946-1529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6850
TN
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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