ANDREA JACKSON

FORT SMITH, AR
NPI1861215840
Other NameNIKKI JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
(Licence: AR  PTA2294)
Enumeration Date2024-11-06
Last Update Date2024-11-06
Business Address
ANDREA JACKSON
2120 S WALDRON RD STE C
FORT SMITH, AR 72903-3689
Phone number: 479-452-0424
Mailing Address
ANDREA JACKSON
13364 HIGHWAY 219
OZARK, AR 72949-8939
Phone number: 479-209-2545
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