MS. Amanda Jackson, OTR/L CPAM
NPI #1982143467 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1982143467
- Entity Type
- Individual
- Name
- MS. Amanda Jackson, OTR/L CPAM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L CPAM
- Enumeration Date
- Feb 17, 2017
- Last Updated
- Feb 17, 2017
Practice Location
- Address
- 5305 RESERVE DR NE
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30319-5924
- Phone
- (770) 634-8410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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