Individual
ROCIO JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
320 WINDSOR DR, CHURCHVILLE, PA 18966-1376
(215) 510-7188
Mailing address
320 WINDSOR DR, CHURCHVILLE, PA 18966-1376
(215) 510-7188
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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