Jackson, Periz Monique

Jackson, Periz Monique is an individual health care provider with primary practice located at 3300 Etheredge Dr , Austin TX 78725-4769. 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, Periz Monique can be contacted via phone (512) 785-8774.

Contact Information

Primary practice address
3300 Etheredge Dr Austin TX 78725-4769
Phone: (512) 785-8774
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 209095 Texas

Profile Details

NPI number 1972776177
LBN Legal business name Jackson, Periz Monique
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 2008 - about 17 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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