Individual
SARA E. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1805 N YORK ST STE H, MUSKOGEE, OK 74403-1442
(918) 912-2796
(918) 513-5808
Mailing address
1805 N YORK ST STE H, MUSKOGEE, OK 74403-1442
(918) 912-2796
(918) 513-5808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2767
OK
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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