KOURTNEY JACKSON

FRESNO, CA
NPI1720443823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  15206)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: AR  OTR2640)
Enumeration Date2015-12-16
Last Update Date2015-12-16
Business Address
-- KOURTNEY JACKSON MS, OTR/L
1665 M ST
FRESNO, CA 93721-1121
Phone number: 559-268-5361
Mailing Address
-- KOURTNEY JACKSON MS, OTR/L
4018 S P ST
FORT SMITH, AR 72903-3026
Phone number: