CRAIG JACKSON

CHARLESTON, SC
NPI1659537512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  981)
Enumeration Date2008-07-31
Last Update Date2008-07-31
Business Address
Mr. CRAIG JACKSON COTA/L
2423 CASTLEREAGH RD
CHARLESTON, SC 29414-6134
Phone number: 843-819-9470
Mailing Address
Mr. CRAIG JACKSON COTA/L
2423 CASTLEREAGH RD
CHARLESTON, SC 29414-6134
Phone number: 843-819-9470
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