# NANCY ROTZ JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760569255
- **Gender:** F
- **Credential:** M.S.OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 240 | OK | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 07/08/2007