TIERRA JACKSON

MADISONVILLE, KY
NPI1225426224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KY  a5898)
Enumeration Date2014-12-30
Last Update Date2014-12-30
Business Address
-- TIERRA JACKSON
1500 PRIDE AVE
MADISONVILLE, KY 42431-9157
Phone number: 270-821-1813
Mailing Address
-- TIERRA JACKSON
1500 PRIDE AVE
MADISONVILLE, KY 42431-9157
Phone number: 270-821-1813
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