| NPI | 1780879882 |
|---|---|
| Former Name | DABNEY JANE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR COTA502) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AR OT0756) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-06-02 |