Mark Wayne Jackson
Mark Wayne Jackson is an Occupational Therapist in Benbrook, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
8608 Marys Creek DrBenbrook, TX 76116-7624
Phone: (817) 420-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 108520 (TX) |
|---|
Record details
| NPI number | 1134755721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 16, 2020 |
| Last updated in NPPES | March 16, 2020 |
| Certification date | March 16, 2020 |
| Mailing address | 8608 Marys Creek Dr, Benbrook, TX 76116-7624 |
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