DANICA MONIQUE JACKSON

CHARLOTTE, NC
NPI1285758326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  5610)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: SC  3210)
Enumeration Date2007-03-16
Last Update Date2013-01-04
Business Address
MRS. DANICA MONIQUE JACKSON MHS, OTR/L
620 TOM HUNTER RD
CHARLOTTE, NC 28213-5511
Phone number: 704-900-5513
Mailing Address
MRS. DANICA MONIQUE JACKSON MHS, OTR/L
3418 FROSTMOOR PL
CHARLOTTE, NC 28269-2172
Phone number: 704-910-2161