Jackson, Mallory

Jackson, Mallory is an individual health care provider with primary practice located at 7784 Innovation Park Dr , Baton Rouge LA 70820-7006. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Jackson, Mallory can be contacted via phone (225) 343-4232.

Contact Information

Primary practice address
7784 Innovation Park Dr Baton Rouge LA 70820-7006
Phone: (225) 343-4232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1205266525
LBN Legal business name Jackson, Mallory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2013
Last updated Oct 30th, 2019 - 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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