Individual provider · Type 1 NPI

Ayesha Iman Jackson, OT

Occupational Therapist · Laurel, MD

NPI number 1053650085 Active

Practice location

14409 Greenview Dr
Laurel, MD 20708-3293

Call (301) 498-8100 Map

Fax (301) 498-0009

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X06246 (MD)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1053650085

Ayesha Iman Jackson, OT's National Provider Identifier is 1053650085, issued on Feb 12, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Laurel, MD. The record was last updated on Feb 12, 2013.