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Individual

MRS. MALINDA ANNE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 841-2284
(816) 753-7836
Mailing address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 541-2284
(816) 753-7836

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
003979
MO
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
17-01402
KS

Other

Enumeration date
05/22/2009
Last updated
08/28/2023
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