JEANNINE JACKSON

TULSA, OK
NPI1629667589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
Enumeration Date2021-01-14
Last Update Date2021-01-14
Business Address
JEANNINE JACKSON COTA/L
6715 E 41ST ST
TULSA, OK 74145-4520
Phone number: 918-806-0106
Mailing Address
JEANNINE JACKSON COTA/L
622 E MAIN ST
COLLINSVILLE, OK 74021-3616
Phone number: