| NPI | 1174050967 |
|---|---|
| Former Name | CLAIRE ELISE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WA OT60737466) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |