Individual
MRS. NINA MARIE PEREZ JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
1311 GRANITE CANYON RD, LIVERMORE, CO 80536-7646
(970) 416-1398
(970) 482-8397
Mailing address
1311 GRANITE CANYON RD, LIVERMORE, CO 80536-7646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
02/15/2007
Last updated
11/05/2013
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