Chanda D'riece Jackson, P.T.

NPI #1063440436 in Thomas, Oklahoma

Provider Information

NPI Number
1063440436
Entity Type
Individual
Name
Chanda D'riece Jackson, P.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Jun 28, 2006
Last Updated
Mar 18, 2014

Practice Location

Address
100 S 2ND STREET
City
Thomas
ZIP Code
73669
Phone
(580) 661-2639

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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