Trevis Shantell Jackson
Trevis Shantell Jackson is an Occupational Therapy Assistant in Fairburn, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
7420 Mistydawn DrFairburn, GA 30213-4330
Phone: (678) 361-8944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence OTA000749 (GA) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence OTA000749 (GA) |
Record details
| NPI number | 1073321659 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 27, 2024 |
| Last updated in NPPES | December 27, 2024 |
| Certification date | December 27, 2024 |
| Mailing address | 7420 Mistydawn Dr, Fairburn, GA 30213-4330 |
Other providers in Fairburn
-
Jamarie Haynes
314 Harbor Links Ct, Fairburn, GA 30213-3981 · (229) 881-0924
-
April Means Johnson, COTA/L
7560 Butner Rd, Fairburn, GA 30213 · (770) 306-7878
-
Mr. Richard Taruvinga, COTA/L
7863 Heathmore Dr, Fairburn, GA 30213-7418 · (678) 458-8129
-
Latasha Brown Wilson, COTA
606 Mayfern Trce, Fairburn, GA 30213-6004 · (678) 361-3238