Talia Nichole Jackson
NPI #1326818428 in North Lauderdale, Florida
Provider Information
- NPI Number
- 1326818428
- Entity Type
- Individual
- Name
- Talia Nichole Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Jan 9, 2024
- Last Updated
- Jan 9, 2024
Practice Location
- Address
- 7751 HAMPTON BLVD
- City
- North Lauderdale
- State
- Florida
- ZIP Code
- 33068-5591
- Phone
- (954) 328-6867
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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