Individual
ASHLEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3661 ROCHESTER AVE, IOWA CITY, IA 52245-9271
(319) 887-3092
Mailing address
1707 NORTHBROOK DR NE, CEDAR RAPIDS, IA 52402-1121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000812
IA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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