Brittiany Jackson

Individual provider Active NPI Occupational Therapy Assistant · Fate, TX

NPI 1225756851 · NPPES record last updated Aug 19, 2022

Key facts

NPI
1225756851
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
386 Magnolia Dr
Fate, TX 75087-6702
Phone
(682) 402-4301
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

386 Magnolia Dr
Fate, TX 75087-6702

Mailing address

386 Magnolia Dr
Fate, TX 75087-6702

Other providers in Fate, TX

All providers in Fate, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.