Individual
MS. VALERIE R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
279 CABOT ST, HOLYOKE, MA 01040-3139
(413) 536-3435
Mailing address
279 CABOT ST, HOLYOKE, MA 01040-3139
(413) 536-3435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7895
MA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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