LEONARD JACKSON

RICHARDSON, TX
NPI1528592292
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  366125)
Enumeration Date2017-04-19
Last Update Date2017-04-19
Business Address
-- LEONARD JACKSON COTA/L
1350 E LOOKOUT DR
RICHARDSON, TX 75082-4106
Phone number: 972-220-2000
Mailing Address
-- LEONARD JACKSON COTA/L
3577 N BELTLINE RD #209
IRVING, TX 75062
Phone number: 972-220-2000
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