Richard P Jackson

NPI #1053703215 in Miami, Florida

Provider Information

NPI Number: 1053703215
Entity Type: Individual
Name: Richard P Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 25, 2015
Last Updated: Jul 25, 2022

Practice Location

Address: 9619 S DIXIE HWY
City: Miami
State: Florida
ZIP Code: 33156-2804
Phone: (305) 722-0568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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