SHAWN NICHOLE JACKSON

CHERRY HILL, NJ
NPI1841479342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2007-10-31
Last Update Date2007-10-31
Business Address
Miss SHAWN NICHOLE JACKSON COTA
1415 ROUTE 70 E SUITE 103
CHERRY HILL, NJ 08034-2210
Phone number: 800-670-3893
Mailing Address
Miss SHAWN NICHOLE JACKSON COTA
9252 ASHLAND WOODS LN APT A2
LORTON, VA 22079-1805
Phone number: 703-339-0534