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Individual
JACKSON PARKER
Active
Individual
JACKSON PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
115861
TX
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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