Individual
KRISTEN L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2023 BEEBE RD, NEWPORT, VT 05855-8976
(802) 274-0369
Mailing address
2023 BEEBE RD, NEWPORT, VT 05855-8976
(802) 274-0369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000553
VT
Other
Enumeration date
03/06/2007
Last updated
02/26/2025
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