Victoria Marie Jackson OTA/L

NPI 1710138623 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1710138623
Gender Female
Enumeration Date 10/09/2008
Last Updated 10/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
300 LEADER DR
WILLIAMSPORT PA, 17701-1943, US
Phone (570) 323-8627
Fax
Business Location
300 LEADER DR
WILLIAMSPORT PA, 17701-1943, US
Phone (570) 323-8627
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Pennsylvania
License Number OP002016L
Remove 1710138623 NPI Number
 

According to our database, Ms. Victoria Marie Jackson OTA/L NPI is 1710138623, taxonomy code is 224Z00000X and license number is OP002016L, license state is located at Pennsylvania. Victoria Marie Jackson OTA/L physically located at 300 Leader Dr, Williamsport PA, 17701-1943. NPI Number Victoria Marie Jackson OTA/L has the Individual type.

Sponsored links

1710138623 NPI number is provided on an as is basis without warranty of any kind. 1710138623 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria Marie Jackson OTA/L are for informational purposes only.