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Contact Information

NANCY C JACKSON, OT
21 WATERVILLE RD
ALLSTAR
AVON, CT06001-2097
 Phone: 860-678-9755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NANCY C JACKSON · (Female)

NPI Number 1558666453
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 01/24/2011
Last updated 01/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003024
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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