MISS Bonnie Jean Jackson, PT
NPI #1033127592 in South Yarmouth, Massachusetts
Provider Information
- NPI Number
- 1033127592
- Entity Type
- Individual
- Name
- MISS Bonnie Jean Jackson, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 23 WHITES PATH
- Address 2
- SUITE O2
- City
- South Yarmouth
- State
- Massachusetts
- ZIP Code
- 02664-1221
- Phone
- (508) 240-0024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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