Briana Jackson, M OTR/L | |
3120 4th Ave Nw, Minot, ND 58703-2811 | |
(701) 720-5355 | |
Not Available |
Full Name | Briana Jackson |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3120 4th Ave Nw, Minot, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003381054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (North Dakota) | Primary |
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Kelly L Drevecky |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457303695 PECOS PAC ID: 3971514480 Enrollment ID: I20060518000027 |
Mailing Address | Practice Location Address |
---|---|
Briana Jackson, M OTR/L 141 Valley Ave Apt 102a, Burlington, ND 58722-2026 Ph: (701) 391-2263 | Briana Jackson, M OTR/L 3120 4th Ave Nw, Minot, ND 58703-2811 Ph: (701) 720-5355 |
Jane Shekleton, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 800 16th Ave Se, Minot, ND 58701 Phone: 701-852-1399 | |
Marcie Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5277 | |
Bharati R Mehta, O.T.R.L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Trinity Hospitals, 1 W Burdick Expy, Minot, ND 58701 Phone: 701-857-5105 Fax: 701-857-5646 | |
Jessica L Delvacchio, DROT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 3rd Ave Sw Ste 102, Minot, ND 58701 Phone: 701-857-5286 Fax: 701-857-5694 | |
Jenna Perlichek, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5286 Fax: 701-857-5694 | |
Lisa M Burke, O.T.R.L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Trinity Hospitals, 1 W Burdick Expy, Minot, ND 58701 Phone: 701-857-5105 Fax: 701-857-5646 |