Jackson, Ileana
Jackson, Ileana is an individual health care provider with primary practice located at 14901 Bogle Dr Ste 100 , Chantilly VA 20151-1736. 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, Ileana can be contacted via phone (571) 346-3781.Contact Information
Primary practice address
14901 Bogle Dr Ste 100
Chantilly VA 20151-1736
Phone: (571) 346-3781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 0119009995 | Virginia |
Profile Details
| NPI number | 1952188658 |
|---|---|
| LBN Legal business name | Jackson, Ileana |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2023 |
| Last updated | Sep 14th, 2023 - about 2 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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