Summer Jackson, COTA
NPI #1972251049 in Richardson, Texas
Provider Information
- NPI Number
- 1972251049
- Entity Type
- Individual
- Name
- Summer Jackson, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Mar 16, 2022
- Last Updated
- Mar 16, 2022
Practice Location
- Address
- 714 W ARAPAHO RD
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-4156
- Phone
- (972) 972-9525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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