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Deborah Olivia Jackson

Occupational Therapy Assistant in Tacoma, WA. Individual provider (NPI-1).

NPI number1215272000
StatusActive
Last updated in NPPESDec 5, 2012

Details

NPI
1215272000
Entity type
Individual (NPI-1)
Name
Deborah Olivia Jackson
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2012
Last updated
Dec 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOC00000143WAYes

Practice location

601 S 8th St
Tacoma, WA 98405-4614

Phone 253-571-1000

Mailing address

2529 S Hosmer St
Tacoma, WA 98405-3151

Phone 253-222-6971

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