Individual
LEEANN PEARL JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
102 W 11TH AVE STE A, POST FALLS, ID 83854-9255
(208) 981-1111
Mailing address
5015 S REGAL ST APT C1022, SPOKANE, WA 99223-8027
(678) 689-9396
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2899
ID
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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