Christian Jackson, | |
1501 Hiland Ave, Burley, ID 83318-2688 | |
(208) 677-6530 | |
Not Available |
Full Name | Christian Jackson |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1501 Hiland Ave, Burley, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326455874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-1334 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Christian Jackson, 1501 Hiland Ave, Burley, ID 83318-2688 Ph: (208) 677-6530 | Christian Jackson, 1501 Hiland Ave, Burley, ID 83318-2688 Ph: (208) 677-6530 |
Miss Bethany Walton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2303 Park Ave, Burley, ID 83318 Phone: 208-677-3073 | |
Gregory Alma Hepworth, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-677-6530 Fax: 208-677-6306 |