Malia R. Jackson, OTD, OTR/L

Occupational Therapist · Austell, GA

Individual Active NPI

NPI number 1255815817

Practice location

2130 Anderson Mill Rd
Austell, GA 30106-1806
Phone
(770) 941-8813

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NPI record

NPI
1255815817
Entity type
Individual (Type 1)
Enumeration date
September 19, 2018
Last updated
September 19, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X OT006033 GA

About Malia Jackson

Malia R. Jackson, OTD, OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 2130 Anderson Mill Rd, Austell, GA 30106-1806. The NPI number 1255815817 was assigned on September 19, 2018 and the record was last updated on September 19, 2018.

Malia Jackson lists a license in the registry: #OT006033 (GA) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Malia R. Jackson, OTD, OTR/L?

The NPI number is 1255815817.

What is the phone number of Malia Jackson?

The phone number listed for the practice location is (770) 941-8813.

Where is Malia Jackson located?

2130 Anderson Mill Rd, Austell, GA 30106-1806.

What is the taxonomy code for Malia Jackson?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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