-- DEBORAH JACKSON --
Individual Provider (NPI-1)
Active
Occupational Therapist
Provider Information
- NPI Number
1881002178- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 245 N 3RD E, MOUNTAIN HOME, ID, 836472734
- Phone
- (208) 587-8255
- Fax
- (208) 587-4475
Specialties & Taxonomies
Occupational Therapist
Primary License: ID #0T-473