DEBRA JACKSON

DETROIT, MI
NPI1881139947
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202005307)
Enumeration Date2016-12-28
Last Update Date2016-12-28
Business Address
-- DEBRA JACKSON COTA
13129 ELMDALE ST
DETROIT, MI 48213-1900
Phone number: 248-470-5601
Mailing Address
-- DEBRA JACKSON COTA
13129 ELMDALE ST
DETROIT, MI 48213-1900
Phone number: 248-470-5601
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