John Phillip Jackson, OTR

NPI #1013043553 in Lubbock, Texas

Provider Information

NPI Number
1013043553
Entity Type
Individual
Name
John Phillip Jackson, OTR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR
Enumeration Date
Feb 26, 2007
Last Updated
May 14, 2009

Practice Location

Address
7810 AVENUE U APT B
State
Texas
ZIP Code
79423-2430
Phone
(806) 778-9735

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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