SearchSouth Carolina224Z00000X

Craig Jackson, COTA/L

NPI 1659537512 · on the registry since 2008 · sole proprietor

Practice

Address
2423 Castlereagh Rd
Charleston, SC 29414
Phone
(843) 819-9470
Fax
(877) 286-5727

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-31

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 South Carolina