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Individual

MRS. LINDSEY L JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
4201 LAKE BOONE TRL STE 4, RALEIGH, NC 27607-7511
(919) 562-9941
(919) 562-9943
Mailing address
4201 LAKE BOONE TRL STE 4, RALEIGH, NC 27607-7511
(919) 562-9941
(919) 562-9943

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6833
NC

Other

Enumeration date
09/28/2007
Last updated
08/28/2008
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