Mrs. Michelle W. Jackson
Occupational Therapist Occupational Therapy Assistant
1826 Veterans Blvd
Dublin
, Georgia 31021-3620
Mrs. Michelle W. Jackson
Occupational Therapist Occupational Therapy Assistant
1826 Veterans Blvd
Dublin
, Georgia 31021-3620
(706) 226-7869
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About
Features
Specialties
- Occupational Therapy Assistant
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mrs. Michelle W. Jackson
- 1013 Riverburch Pkwy Suite 4
- Dalton, GA
- Zip : 30721-8887
- Fax : (706) 226-7869
- Phone : (866) 261-8090
Second Address
- Mrs. Michelle W. Jackson
- 1826 Veterans Blvd
- Dublin, GA
- Zip : 31021-3620
- Phone : (478) 272-1210
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FAQs
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What type of doctor is Mrs. Michelle W. Jackson
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Is Mrs. Michelle W. Jackson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | OTA000528 | GA |
| Y | 225X00000X | Occupational Therapist | OT005232 | GA |
National Provider Identifier
| NPI | 1033352323 |
|---|---|
| Provider Name | Mrs. Michelle W. Jackson |
| First Address | Dalton, GA 30721-8887 |
| Second Address | Dublin, GA 31021-3620 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2009 |
| Last Update Date | 19/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.