JOHN ALEXANDER JACKSON

FORT WAYNE, IN
NPI1447853486
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31007309A)
Enumeration Date2020-11-20
Last Update Date2020-11-20
Business Address
JOHN ALEXANDER JACKSON OTD
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-471-9286
Mailing Address
JOHN ALEXANDER JACKSON OTD
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number:
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