Individual
MR. RODNEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18135 W CATAWBA AVE STE 11, CORNELIUS, NC 28031-5641
(704) 780-3110
Mailing address
18135 W CATAWBA AVE STE 11, CORNELIUS, NC 28031-5641
(704) 780-3110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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