Individual provider · Type 1 NPI

Ileana Jackson, OT

Occupational Therapist · Chantilly, VA

NPI number 1952188658 Active

Practice location

14901 Bogle Dr Ste 100
Chantilly, VA 20151-1736

Call (571) 346-3781 Map

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119009995 (VA)

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 1952188658

Ileana Jackson, OT's National Provider Identifier is 1952188658, issued on Sep 14, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Chantilly, VA. The record was last updated on Sep 14, 2023.