Willie D Tarressa Jackson
NPI #1225717515 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1225717515
- Entity Type
- Individual
- Name
- Willie D Tarressa Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jul 13, 2023
- Last Updated
- Jul 13, 2023
Practice Location
- Address
- 1310 S LINDEN ST
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-3347
- Phone
- (870) 360-1777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
| Occupational Therapy Assistant |
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