MS. Susan Jean Jackson, PT

NPI #1073781613 in Austin, Texas

Provider Information

NPI Number: 1073781613
Entity Type: Individual
Name: MS. Susan Jean Jackson, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 18, 2008
Last Updated: Feb 18, 2008

Practice Location

Address: 901 W 9TH ST APT 414
City: Austin
State: Texas
ZIP Code: 78703-4629
Phone: (512) 480-9477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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