John Jackson

NPI #1063073310 in Maitland, Florida

Provider Information

NPI Number
1063073310
Entity Type
Individual
Name
John Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 27, 2019
Last Updated
Apr 15, 2020

Practice Location

Address
2143 MOHAWK TRL
State
Florida
ZIP Code
32751-3950
Phone
(407) 782-5219

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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