CASEY NICOLE JACKSON

SAN ANTONIO, TX
NPI1902588684
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  217958)
Enumeration Date2023-08-02
Last Update Date2023-08-02
Business Address
CASEY NICOLE JACKSON COTA
15600 SAN PEDRO AVE STE 305
SAN ANTONIO, TX 78232-3739
Phone number: 210-582-5840
Mailing Address
CASEY NICOLE JACKSON COTA
208 WOODGLENN DR
VICTORIA, TX 77904-1132
Phone number: 361-894-4201
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