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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAUL CHARLES JACKSON, PTA

Active

PAUL CHARLES JACKSON, PTA is a Occupational Therapist healthcare provider located in SIERRA VISTA, Arizona. NPI 1639339443 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SIERRA VISTA, AZ

Registration Details

NPI Number
1639339443
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2008 (18.148412384223 yrs)
Last Updated
Jun 16, 2008
License
7580A (AZ)

Practice Information

Address
660 S CORONADO DR
SIERRA VISTA, AZ, 856353386
Browse AZ providers · Browse ZIP 85635
Phone
5204594900
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SIERRA VISTA, AZ

Name Credential NPI
CHRISTINA INFANTE 1346893211
CODY JAMES BURTON 1952002008
JENNIFER ORTIZ PTA 1386462364
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.