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Individual
SHARON K. JACKSON
Active
Individual
SHARON K. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110025701
—
TX
01
—
8T2057
INSURANCE
TX
Enumeration date
04/10/2007
Last updated
07/19/2012
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