Christina Marie Jackson, OTR/L

Occupational Therapist · Lagrange, GA

Individual Active NPI

NPI number 1558892547

Practice location

316 N Lewis St
Lagrange, GA 30240-2740
Phone
(205) 478-1406
Fax
(866) 812-9807

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NPI record

NPI
1558892547
Entity type
Individual (Type 1)
Enumeration date
March 22, 2017
Last updated
November 29, 2023
Certified
November 29, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X OT006706 GA
Occupational Therapist 225X00000X 006706 GA

Mailing address

733 Azalea Dr
Lagrange, GA 30240-1617
Phone
(120) 547-8140
Fax
(866) 812-9807

About Christina Jackson

Christina Marie Jackson, OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 316 N Lewis St, Lagrange, GA 30240-2740. The NPI number 1558892547 was assigned on March 22, 2017 and the record was last updated on November 29, 2023.

Christina Jackson lists 2 licenses in the registry: #OT006706 (GA) for Occupational Therapist; #006706 (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 Christina Marie Jackson, OTR/L?

The NPI number is 1558892547.

What is the phone number of Christina Jackson?

The phone number listed for the practice location is (205) 478-1406.

Where is Christina Jackson located?

316 N Lewis St, Lagrange, GA 30240-2740.

What is the taxonomy code for Christina Jackson?

The primary taxonomy code is 225X00000X – Occupational Therapist; 1 more listed above.

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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