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Individual

COREY JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1650 S STONEBRIDGE DR, MCKINNEY, TX 75072-5660
(972) 529-1420
Mailing address
1515 HOME PARK DR, ALLEN, TX 75002-4585
(401) 256-3463

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215730
TX

Other

Enumeration date
01/30/2016
Last updated
07/02/2024
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