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1689259939
ERICA JACKSON
CHARLOTTE, NC
NPI
1689259939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 13956)
Enumeration Date
2021-03-17
Last Update Date
2021-03-17
Business Address
ERICA JACKSON OT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-8674
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Mailing Address
ERICA JACKSON OT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-8674
Copy
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