Shea Jackson, OTR/L

NPI #1255058475 in Paducah, Kentucky

Provider Information

NPI Number
1255058475
Entity Type
Individual
Name
Shea Jackson, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Oct 27, 2022
Last Updated
Oct 27, 2022

Practice Location

Address
100 KIANA CT APT A
ZIP Code
42001-6767
Phone
(270) 443-0681

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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