Individual
GINA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
(713) 995-4402
Mailing address
12400 SHADOW CREEK PKWY, APT 2406, PEARLAND, TX 77584-7360
(713) 995-9292
(713) 995-4402
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102683
TX
Other
Enumeration date
08/10/2009
Last updated
12/08/2021
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