Ileana Jackson, OT

NPI #1952188658 in Chantilly, Virginia

Provider Information

NPI Number
1952188658
Entity Type
Individual
Name
Ileana Jackson, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Sep 14, 2023
Last Updated
Sep 14, 2023

Practice Location

Address
14901 BOGLE DR STE 100
ZIP Code
20151-1736
Phone
(571) 346-3781

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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