Individual
MRS. SARAH MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
GENESIS-PUTNAM CENTER, 300 SEVILLE ROAD, HURRICANE, WV 25526
(304) 757-6805
(304) 757-3803
Mailing address
GENESIS-PUTNAM CENTER, 300 SEVILLE ROAD, HURRICANE, WV 25526
(304) 757-6805
(304) 757-3803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1922
WV
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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