Individual
DONNA MAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
7881 EIGLEBERRY STREET, GILROY, CA 95020
(408) 842-1121
(408) 842-3046
Mailing address
7881 EIGLEBERRY ST, GILROY, CA 95020
(408) 842-1121
(408) 842-3046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1336
CA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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