Individual
NANCY ROTZ JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.OTR/L
Contact information
Practice address
1405 E MOSES ST, CUSHING, OK 74023-3635
(918) 225-5600
(918) 225-3026
Mailing address
PO BOX 707, DRUMRIGHT, OK 74030-0707
(918) 225-7500
(918) 225-5700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
240
OK
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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