Individual
MRS. ERICA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
814 SHANAHAN RD STE 100, LEWIS CENTER, OH 43035-9192
(740) 657-4050
Mailing address
3275 STONEY CREEK CT, LEWIS CENTER, OH 43035-9237
(740) 657-4750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006825
OH
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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