Individual
CATHY ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT MS BCB
Contact information
Practice address
14 LAMPREY LN, LEE, NH 03861-6552
(603) 659-8122
Mailing address
14 LAMPREY LN, LEE, NH 03861-6552
(603) 659-8122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0928
NH
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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