Individual
MRS. RACHEL LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2100 E RILEY THOMPSON RD, MUSKEGON, MI 49445-9540
(270) 559-7107
Mailing address
2923 OAK LN, MUSKEGON, MI 49444-2523
(270) 559-7107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009240
MI
225X00000X
Occupational Therapist
KY-R3379
KY
Other
Enumeration date
06/28/2007
Last updated
01/22/2021
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