Nacole Marie Jackson, COTA

NPI #1851459770 in Chesterton, Indiana

Provider Information

NPI Number
1851459770
Entity Type
Individual
Name
Nacole Marie Jackson, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Dec 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1120 S CALUMET RD
Address 2
SUITE 3
State
Indiana
ZIP Code
46304-3285
Phone
(219) 983-9675

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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