SHIRLEY JACKSON

MARTINSVILLE, VA
NPI1073915559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131000169)
Enumeration Date2014-09-16
Last Update Date2014-09-16
Business Address
SHIRLEY JACKSON
170 VILLAGE COURT
MARTINSVILLE, VA 24112
Phone number: 276-340-5158
Mailing Address
SHIRLEY JACKSON
PO BOX 5081
MARTINSVILLE, VA 24115-5081
Phone number: 276-340-5158