| NPI | 1639305014 |
|---|---|
| Doing Business As | JACKSON JADE SPEECH, OCCUPATIONAL & PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | RENEE FIRBY President 888-808-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-05-30 |
| Last Update Date | 2014-03-25 |