Jackson, Cheryl Gwendolyn

Jackson, Cheryl Gwendolyn is an individual health care provider with primary practice located at 680 S 4Th St , Louisville KY 40202-2407. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson, Cheryl Gwendolyn can be contacted via phone (502) 596-7640.

Contact Information

Primary practice address
680 S 4Th St Louisville KY 40202-2407
Phone: (502) 596-7640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056.004726 Illinois

Profile Details

NPI number 1366787806
LBN Legal business name Jackson, Cheryl Gwendolyn
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2012
Last updated Dec 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers