Erica Lakisha Jackson, OTR/L

NPI #1710596978 in Dublin, Georgia

Provider Information

NPI Number: 1710596978
Entity Type: Individual
Name: Erica Lakisha Jackson, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jul 23, 2020
Last Updated: Jul 23, 2020

Practice Location

Address: 212 FAIRVIEW PARK DR
City: Dublin
State: Georgia
ZIP Code: 31021-2547
Phone: (478) 275-9888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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