Nicole Lee Jackson, OTA
NPI #1568723344 in Sinking Spring, Pennsylvania
Provider Information
- NPI Number
- 1568723344
- Entity Type
- Individual
- Name
- Nicole Lee Jackson, OTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- OTA
- Enumeration Date
- Jun 7, 2012
- Last Updated
- Jun 7, 2012
Practice Location
- Address
- 241 PARK AVE
- City
- Sinking Spring
- State
- Pennsylvania
- ZIP Code
- 19608-1329
- Phone
- (610) 223-7359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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