Individual
ALLANA MICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4000 CROCKER ROAD, WESTLAKE, OH 44145
(440) 250-3015
Mailing address
250 VINEYARD RD, AVON LAKE, OH 44012
(904) 502-7473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
OH
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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