PAMELA DIANNE JACKSON

BURBANK, IL
NPI1083041123
Former NamePAMELA DIANNE MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056001722)
Enumeration Date2013-10-03
Last Update Date2013-10-03
Business Address
Mrs. PAMELA DIANNE JACKSON OTR/L
5400 W 87TH ST
BURBANK, IL 60459-2913
Phone number: 708-346-6236
Mailing Address
Mrs. PAMELA DIANNE JACKSON OTR/L
5400 WEST 87TH STREET
BURBANK, IL 60459
Phone number: 708-346-6236
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