SARAH DANIELLE JACKSON

DE QUEEN, AR
NPI1780821165
Former NameSARAH DANIELLE JACKSON-JARVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A473)
Enumeration Date2009-01-07
Last Update Date2010-08-31
Business Address
-- SARAH DANIELLE JACKSON OTA
104 MULLEN DR
DE QUEEN, AR 71832-8047
Phone number: 870-279-3150
Mailing Address
-- SARAH DANIELLE JACKSON OTA
104 MULLEN DR
DE QUEEN, AR 71832-8047
Phone number: 870-279-3150
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