Jeremy Allen Jackson

NPI #1023177516 in Vallejo, California

Provider Information

NPI Number: 1023177516
Entity Type: Individual
Name: Jeremy Allen Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 8, 2006
Last Updated: Dec 30, 2021

Practice Location

Address: 975 SERENO DR
City: Vallejo
State: California
ZIP Code: 94589-2441
Phone: (707) 651-4863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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