Individual provider · Type 1 NPI

Michele Mary Jackson, OTR/L

Specialist · Lockport, NY

NPI number 1013292929 Active

Practice location

5669 Wendy Cir
Lockport, NY 14094-6015

Call (716) 434-4970 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X003569-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013292929

Michele Mary Jackson, OTR/L's National Provider Identifier is 1013292929, issued on Oct 12, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lockport, NY. The record was last updated on Oct 12, 2011.