Individual
KATHRYN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10710 N 121ST EAST AVE, OWASSO, OK 74055-5219
(918) 857-5284
(918) 857-5284
Mailing address
10710 N 121ST EAST AVE, OWASSO, OK 74055-5219
(918) 857-5284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5790
OK
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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