Individual
MS. TWILA DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSOT
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6116
(785) 354-5166
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6116
(785) 354-5166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-00597
KS
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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