Jackson, Angela

Jackson, Angela is an individual health care provider with primary practice located at 2915 S Hazel St , Pine Bluff AR 71603-5008. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Jackson, Angela can be contacted via phone (870) 535-0010.

Contact Information

Primary practice address
2915 S Hazel St Pine Bluff AR 71603-5008
Phone: (870) 535-0010
Fax: (870) 535-1116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA482 Arkansas

Profile Details

NPI number 1336352632
LBN Legal business name Jackson, Angela
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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