Mary Jackson
NPI #1053777888 in Raleigh, North Carolina
Provider Information
- NPI Number
- 1053777888
- Entity Type
- Individual
- Name
- Mary Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jan 8, 2016
- Last Updated
- Jul 29, 2025
Practice Location
- Address
- 316 SHEPHERD ST
- City
- Raleigh
- State
- North Carolina
- ZIP Code
- 27607-4032
- Phone
- (919) 219-5653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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