Individual
KENDALL CLAIRE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12850 HILLCREST RD STE F104, DALLAS, TX 75230-1529
(972) 404-3077
Mailing address
5619 BELMONT AVE APT 2320, DALLAS, TX 75206-6785
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125473
TX
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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