Individual
MS. BRENDA L.E. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-8000
Mailing address
911 GRANDE AVE, NORTH PLATTE, NE 69101-5277
(308) 520-2286
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1946
NE
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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