Shonda Renne Jackson
Shonda Renne Jackson is an Occupational Therapy Assistant in Plainfield, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2010
Practice location Address checks out
1400 Woodland AvePlainfield, NJ 07060-3362
Phone: (908) 753-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence OTA46TA09032200 (NJ) |
|---|
Record details
| NPI number | 1528360948 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 18, 2010 |
| Last updated in NPPES | November 18, 2010 |
| Mailing address | 563 E Front St Apt B, Plainfield, NJ 07060-1411 |