SHEA JACKSON

PADUCAH, KY
NPI1255058475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  280416)
Enumeration Date2022-10-27
Last Update Date2022-10-27
Business Address
SHEA JACKSON OTR/L
100 KIANA CT APT A
PADUCAH, KY 42001-6767
Phone number: 270-443-0681
Mailing Address
SHEA JACKSON OTR/L
100 KIANA CT APT A
PADUCAH, KY 42001-6767
Phone number:
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