Michele Mary Jackson, OTR/L

NPI #1013292929 in Lockport, New York

Provider Information

NPI Number
1013292929
Entity Type
Individual
Name
Michele Mary Jackson, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
OTR/L
Enumeration Date
Oct 12, 2011
Last Updated
Oct 12, 2011

Practice Location

Address
5669 WENDY CIR
ZIP Code
14094-6015
Phone
(716) 434-4970

Specialties & Taxonomy Codes

Specialty
Specialist

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