CHANTE OLIVIA JACKSON

SOUTHFIELD, MI
NPI1497523641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202006981)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MI  5202006981)
Enumeration Date2023-12-18
Last Update Date2023-12-18
Business Address
MRS. CHANTE OLIVIA JACKSON C.O.T.A.L
16112 MOUNT VERNON ST
SOUTHFIELD, MI 48075-3188
Phone number: 313-617-8398
Mailing Address
MRS. CHANTE OLIVIA JACKSON C.O.T.A.L
25330 W 6 MILE RD
REDFORD, MI 48240-2105
Phone number: 313-531-6874