Individual
MEGHAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
13550 S OUTER 40 RD, CHESTERFIELD, MO 63017-5812
(314) 878-1330
Mailing address
445 DICKENS AVE, KIRKWOOD, MO 63122-3810
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2007020782
MO
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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