John Martin Jackson
NPI #1063911105 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1063911105
- Entity Type
- Individual
- Name
- John Martin Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Feb 5, 2018
- Last Updated
- Feb 5, 2018
Practice Location
- Address
- 11118 LANTERN WAY
- State
- Virginia
- ZIP Code
- 23236-3575
- Phone
- (646) 408-0535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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