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Olymphia Anecia Jackson, MSPT
Pediatric Physical Therapist in Douglasville, Georgia
NPI 1225124712

Olymphia Anecia Jackson is a Pediatric Physical Therapist based in Douglasville, GA and is specialized in Pediatrics. Olymphia Anecia Jackson practices in Douglasville, GA and has the professional credentials of MSPT. The NPI Number for Olymphia Anecia Jackson is 1225124712 and holds a License No. PT007580 (Georgia).

The current practice location address for Olymphia Anecia Jackson is 4352 Missoula Pl, Douglasville, GA and can be reached out via phone at 678-715-1544. You can also correspond with Olymphia Anecia Jackson through the mailing address at PO BOX 6867, DOUGLASVILLE, GA - 30154-0032 (mailing address contact number: 678-715-1544).

Location: 4352 Missoula Pl, Douglasville, GA, 30154-0032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225124712
Provider Name
Olymphia Anecia Jackson
Credential
MSPT
Provider Entity Type
Individual
Gender
Female
Address
4352 Missoula Pl, Douglasville, GA, 30154-0032
Phone Number
678-715-1544
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4352 Missoula Pl
City
Douglasville
State
Georgia
Zip
30135-8608
Phone Number
678-715-1544
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 6867
City
Douglasville
State
Georgia
Zip
30154-0032
Phone Number
678-715-1544
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT007580 (Georgia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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