Jackson, Diane Marie
Jackson, Diane Marie is an individual health care provider with primary practice located at 1279 Elmhurst Dr Ne , Cedar Rapids IA 52402-4760. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson, Diane Marie can be contacted via phone (716) 861-6836.Contact Information
Primary practice address
1279 Elmhurst Dr Ne
Cedar Rapids IA 52402-4760
Phone: (716) 861-6836
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 087310 | Iowa |
Profile Details
| NPI number | 1588212872 |
|---|---|
| LBN Legal business name | Jackson, Diane Marie |
| Credentials | MOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2019 |
| Last updated | Aug 29th, 2019 - about 7 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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