Ada L. Jackson COTA

NPI 1093878969 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1093878969
Gender Female
Enumeration Date 12/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3360 OAKWELL CT
SAN ANTONIO TX, 78218-3061, US
Phone (210) 826-5348
Fax
Business Location
2222 SULLIVAN TRL
EASTON PA, 18040-7958, US
Phone
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Texas
License Number 200737
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According to our database, Ada L. Jackson COTA NPI is 1093878969, taxonomy code is 224Z00000X and license number is 200737, license state is located at Texas. Ada L. Jackson COTA physically located at 3360 Oakwell Ct, San Antonio TX, 78218-3061. NPI Number Ada L. Jackson COTA has the Individual type.

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1093878969 NPI number is provided on an as is basis without warranty of any kind. 1093878969 is maintained by the National Plan & Provider Enumeration System. The contents of Ada L. Jackson COTA are for informational purposes only.