MRS. Sue Lyon Jackson, LOTA

NPI #1700367349 in Glen Rose, Texas

Provider Information

NPI Number
1700367349
Entity Type
Individual
Name
MRS. Sue Lyon Jackson, LOTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
LOTA
Enumeration Date
Aug 22, 2018
Last Updated
Aug 22, 2018

Practice Location

Address
1019 HOLDEN ST
State
Texas
ZIP Code
76043-4937
Phone
(254) 897-2215

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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