IndividualActive
Christian Jackson, CTRS
NPI 1902492754 · Recreation Therapist · Long Beach, CA
Provider details
- NPI number
- 1902492754
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 83338 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
330 Golden Shr Ste 250
Long Beach, CA 90802-4270
Phone: (562) 247-0713
Fax: (800) 985-5002
Approximate (ZIP-level) locationGet directions
Mailing address
818 W 106th St
Los Angeles, CA 90044-4438
Registry dates
- Enumerated
- 2020-12-16
- Last updated
- 2020-12-16
- Certified
- 2020-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.