Individual
ERICA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 W PLEASURE AVE, SEARCY, AR 72143-5151
(501) 368-0447
Mailing address
95 CHARIOT CV, AUSTIN, AR 72007-8073
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
10/17/2023
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