Denise Jackson, LPTA

NPI #1093089906 in Chicago Ridge, Illinois

Provider Information

NPI Number: 1093089906
Entity Type: Individual
Name: Denise Jackson, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Feb 24, 2012
Last Updated: Feb 24, 2012

Practice Location

Address: 10300 SOUTHWEST HWY
City: Chicago Ridge
State: Illinois
ZIP Code: 60415-1426
Phone: (708) 425-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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