Candice Elizabeth Jackson, COTA/L
NPI #1720368616 in Carthage, North Carolina
Provider Information
- NPI Number
- 1720368616
- Entity Type
- Individual
- Name
- Candice Elizabeth Jackson, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Aug 23, 2011
- Last Updated
- Aug 23, 2011
Practice Location
- Address
- 216 UNION CHURCH RD
- City
- Carthage
- State
- North Carolina
- ZIP Code
- 28327-7644
- Phone
- (910) 585-1912
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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