Gina Marie Jackson Valid NPI

Individual provider · Pediatric Occupational Therapist · Stafford, TX

NPI

1639301682

Type

Individual (Type 1)

Primary specialty

Pediatric Occupational Therapist (Occupational Therapist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225XP0200X

License number

102683 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2009-08-10

Last updated

2021-12-08