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Michele Mary Jackson, OTR/L
Specialist in Lockport, New York
NPI 1013292929

Michele Mary Jackson is a Specialist based in Lockport, NY. Michele Mary Jackson practices in Lockport, NY and has the professional credentials of OTR/L. The NPI Number for Michele Mary Jackson is 1013292929 and holds a License No. 003569-1 (New York).

The current practice location address for Michele Mary Jackson is 5669 Wendy Cir, Lockport, NY and can be reached out via phone at 716-434-4970.

Location: 5669 Wendy Cir, Lockport, NY, 14094-6015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013292929
Provider Name
Michele Mary Jackson
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
5669 Wendy Cir, Lockport, NY, 14094-6015
Phone Number
716-434-4970
Fax Number
Provider Enumeration Date
10/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003569-1 01 NY OCCUPATIONAL THERAPIST
institution
Provider Business Practice Location Address Details
Address
5669 Wendy Cir
City
Lockport
State
New York
Zip
14094-6015
Phone Number
716-434-4970
Fax Number
person
Provider Business Mailing Address Details
Address
5669 Wendy Cir
City
Lockport
State
New York
Zip
14094-6015
Phone Number
716-434-4970
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
003569-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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