IndividualActive
Camille Jackson
NPI 1902252950 · Occupational Therapy Assistant · Highland, UT
Provider details
- NPI number
- 1902252950
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9082424-4202 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5199 W Oak Grove Ln
Highland, UT 84003-9469
Phone: (385) 223-0979
Approximate (ZIP-level) locationGet directions
Mailing address
5199 W Oak Grove Ln
Highland, UT 84003-9469
Registry dates
- Enumerated
- 2016-05-09
- Last updated
- 2016-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.