Jackson, Staci Lynn
Jackson, Staci Lynn is an individual health care provider with primary practice located at 2386 Clower St Bld E, Ste 102, Snellville GA 30078-6134. 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, Staci Lynn can be contacted via phone (770) 985-9050.Contact Information
Primary practice address
2386 Clower St Bld E, Ste 102
Snellville GA 30078-6134
Phone: (770) 985-9050
Fax: (770) 985-9223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT003559 | Georgia |
Profile Details
| NPI number | 1154508406 |
|---|---|
| LBN Legal business name | Jackson, Staci Lynn |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2008 |
| Last updated | Jan 29th, 2008 - about 18 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.
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