Individual
SANDRA DEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5522 W NORTHGATE RD, ROGERS, AR 72758-2017
(479) 622-8183
Mailing address
22 ALLENDALE DR, BELLA VISTA, AR 72714-5218
(479) 622-8183
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR4055
AR
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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