Jackson, Kourtney

Jackson, Kourtney is an sole proprietor health care provider with primary practice located at 1665 M St , Fresno CA 93721-1121. 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, Kourtney can be contacted via phone (559) 268-5361.

Contact Information

Primary practice address
1665 M St Fresno CA 93721-1121
Phone: (559) 268-5361
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR2640 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 15206 California

Profile Details

NPI number 1720443823
LBN Legal business name Jackson, Kourtney
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2015
Last updated Dec 16th, 2015 - about 11 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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