MS. Debbra Carline Jackson, COTA

NPI #1972778181 in Glenview, Illinois

Provider Information

NPI Number
1972778181
Entity Type
Individual
Name
MS. Debbra Carline Jackson, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Apr 29, 2008
Last Updated
Apr 29, 2008

Practice Location

Address
3703 W LAKE AVE
Address 2
SUITE 200
ZIP Code
60026-5823
Phone
(847) 998-1188

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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