IndividualActive
Brittni Jackson
NPI 1154690253 · Occupational Therapy Assistant · Philadelphia, MS
Provider details
- NPI number
- 1154690253
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2621 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1120 E Main St
Suite 1
Philadelphia, MS 39350-2300
Phone: (601) 663-1296
Approximate (ZIP-level) locationGet directions
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Registry dates
- Enumerated
- 2011-12-19
- Last updated
- 2011-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.