Individual
MRS. ANGELINA R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7017 N 10TH ST, STE T, MCALLEN, TX 78504-3287
(956) 630-6300
(956) 630-3443
Mailing address
116 DAWSON ST, EDINBURG, TX 78539-6402
(956) 287-7912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12799851
TX
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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