Individual provider · Type 1 NPI

Keenan Jackson, OT

Occupational Therapist · Albuquerque, NM

NPI number 1073856779 Active

Practice location

6301 Forest Hills Dr NE
Albuquerque, NM 87109-4137

Call (505) 823-8399 Map

Fax (505) 823-8324

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3031 (NM)

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 1073856779

Keenan Jackson, OT's National Provider Identifier is 1073856779, issued on Apr 1, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 1, 2013.