Individual
MRS. JACQUELINE MARIE SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Mailing address
8305 SOUTHGATE DR, NORTH RICHLAND HILLS, TX 76180-4701
(817) 281-4742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109319
TX
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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