Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Jackson, LOTR

Individual provider Developmental Therapist · NPI 1205266525

Mallory Jackson, LOTR is a Developmental Therapist in Baton Rouge, Louisiana. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone: (225) 343-4232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1205266525
Entity typeIndividual (Type 1)
GenderFemale
Credentials LOTR
Sole proprietorNo
NPI enumeratedNovember 22, 2013
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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