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Nicole Jackson, OTA

NPI 1568723344 · on the registry since 2012 · sole proprietor

Practice

Address
241 Park Ave
Sinking Spring, PA 19608
Phone
(610) 223-7359

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania