Individual
VASHON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
309 E MOREHEAD ST STE 200, CHARLOTTE, NC 28202-2325
(704) 285-7471
(800) 506-5309
Mailing address
132 PALM CIR, MELBOURNE, FL 32940-7208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13891
FL
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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