Individual
MERILYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 LIBERTY LN NW, NORTH CANTON, OH 44720-8601
(330) 575-9393
Mailing address
1013 LIBERTY LN NW, NORTH CANTON, OH 44720-8601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.02715
OH
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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