Individual provider · Type 1 NPI

Staci Lynn Jackson, OTR/L

Occupational Therapist · Snellville, GA

NPI number 1154508406 Active

Practice location

2386 Clower St, Bld E, Ste 102
Snellville, GA 30078-6134

Call (770) 985-9050 Map

Fax (770) 985-9223

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT003559 (GA)

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 1154508406

Staci Lynn Jackson, OTR/L's National Provider Identifier is 1154508406, issued on Jan 29, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Snellville, GA. The record was last updated on Jan 29, 2008.