Individual
CANDICE NICOLE JACKSON, CARTWRIGHT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 TOMAHAWK TRL, WICHITA FALLS, TX 76310-8278
(940) 232-6640
Mailing address
155 TOMAHAWK TRL, WICHITA FALLS, TX 76310-8278
(940) 232-6640
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
214255
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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