Jackson, Erica Lakisha

Jackson, Erica Lakisha is an individual health care provider with primary practice located at 212 Fairview Park Dr , Dublin GA 31021-2547. 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, Erica Lakisha can be contacted via phone (478) 275-9888.

Contact Information

Primary practice address
212 Fairview Park Dr Dublin GA 31021-2547
Phone: (478) 275-9888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT005607 Georgia

Profile Details

NPI number 1710596978
LBN Legal business name Jackson, Erica Lakisha
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2020
Last updated Jul 23rd, 2020 - about 5 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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