Individual provider · Type 1 NPI

Malia R. Jackson, OTD, OTR/L

Occupational Therapist · Austell, GA

NPI number 1255815817 Active

Practice location

2130 Anderson Mill Rd
Austell, GA 30106-1806

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT006033 (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 1255815817

Malia R. Jackson, OTD, OTR/L's National Provider Identifier is 1255815817, issued on Sep 19, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Austell, GA. The record was last updated on Sep 19, 2018.