NPI 1700367349

Sue Lyon Jackson, LOTA

Practitioner Occupational Therapy Assistant Glen Rose, TX

Practice location

Address: 1019 Holden St, Glen Rose, TX 76043-4937
Phone: (254) 897-2215
Fax: (254) 897-2091

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 204760 (TX)

Other Occupational Therapy Assistant providers in Texas →

Registry record

NPI: 1700367349
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2018
Record last updated: 22 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.