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Individual

DANIEL L JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD

Contact information

Practice address
4015 LAKE OTIS PKWY STE 200, ANCHORAGE, AK 99508-5235
(907) 308-4251
(907) 563-3472
Mailing address
4015 LAKE OTIS PKWY STE 200, ANCHORAGE, AK 99508-5235
(907) 308-4251
(907) 563-3472

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
162819
AK

Other

Enumeration date
06/24/2020
Last updated
06/24/2020
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