Search › Georgia › 224Z00000X
Kia Jackson, COTA
NPI 1578880555 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3048 River Oak Mews
Decatur, GA 30034 - Phone
- (404) 245-4631
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia