Individual
NANCY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
425 DIVISADERO ST STE 300, SAN FRANCISCO, CA 94117-2242
(510) 528-8227
Mailing address
425 DIVISADERO ST STE 300, SAN FRANCISCO, CA 94117-2242
(510) 528-8227
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
4284
CA
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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