MARY JACKSON

RALEIGH, NC
NPI1053777888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  13329)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: PA  OC020803)
Enumeration Date2016-01-08
Last Update Date2025-07-29
Business Address
MARY JACKSON
316 SHEPHERD ST
RALEIGH, NC 27607-4032
Phone number: 919-219-5653
Mailing Address
MARY JACKSON
316 SHEPHERD ST
RALEIGH, NC 27607-4032
Phone number: 919-219-5653