Korie Jackson

NPI #1265939326 in Eagan, Minnesota

Provider Information

NPI Number: 1265939326
Entity Type: Individual
Name: Korie Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 6, 2018
Last Updated: Apr 6, 2018

Practice Location

Address: 2795 PILOT KNOB RD STE 100
City: Eagan
State: Minnesota
ZIP Code: 55121-1930
Phone: (651) 994-9644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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