KIA MARIA JACKSON

DECATUR, GA
NPI1578880555
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA000733)
Enumeration Date2010-04-29
Last Update Date2010-04-29
Business Address
-- KIA MARIA JACKSON Cota
3048 RIVER OAK MEWS
DECATUR, GA 30034-6974
Phone number: 404-245-4631
Mailing Address
-- KIA MARIA JACKSON Cota
3048 RIVER OAK MEWS
DECATUR, GA 30034-6974
Phone number: 404-245-4631
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