COLLEEN JACKSON

LUBBOCK, TX
NPI1447762844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  212955)
Enumeration Date2017-10-26
Last Update Date2017-10-26
Business Address
COLLEEN JACKSON COTA/L
8011 ELKHART AVE
LUBBOCK, TX 79424-2615
Phone number: 518-312-7513
Mailing Address
COLLEEN JACKSON COTA/L
6502 SLIDE RD STE 204
LUBBOCK, TX 79424-1311
Phone number: 806-686-0429