Monique Marie Jackman

NPI #1801610860 in Washington Terrace, Utah

Provider Information

NPI Number: 1801610860
Entity Type: Individual
Name: Monique Marie Jackman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Recreation Therapist
Enumeration Date: Nov 14, 2024
Last Updated: Nov 14, 2024

Practice Location

Address: 5648 S 500 E
City: Washington Terrace
State: Utah
ZIP Code: 84405-7230
Phone: (804) 475-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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