Candace Doralee Jackson, COTA/L

NPI #1962863381 in Ashdown, Arkansas

Provider Information

NPI Number
1962863381
Entity Type
Individual
Name
Candace Doralee Jackson, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Mar 11, 2016
Last Updated
Mar 11, 2016

Practice Location

Address
1470 RANKIN ST
ZIP Code
71822-3806
Phone
(903) 824-6589

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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