LUCIA JACKSON

GULFPORT, MS
NPI1932579380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT-4216)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: LA  OTT.Z10872)
Enumeration Date2015-09-29
Last Update Date2025-10-22
Business Address
Ms. LUCIA JACKSON LOT, CHT
15476 DEDEAUX RD STE A
GULFPORT, MS 39503-2637
Phone number: 228-215-0700
Mailing Address
Ms. LUCIA JACKSON LOT, CHT
6300 E LAKE BLVD STE 301
VANCLEAVE, MS 39565-6771
Phone number: 228-230-2663