Jackson Therapy
NPI #1124421631 in Gun Barrel City, Texas
Provider Information
- NPI Number
- 1124421631
- Entity Type
- Organization
- Organization Name
- Jackson Therapy
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Sep 29, 2014
- Last Updated
- Sep 29, 2014
Practice Location
- Address
- 849 S GUN BARREL LN # LM
- Address 2
- UNIT G5
- City
- Gun Barrel City
- State
- Texas
- ZIP Code
- 75156-9335
- Phone
- (610) 737-2524
Authorized Official
- Name
- SAMANTHA MOYER, DPT
- Title
- PHYSICAL THERAPIST
- Phone
- (610) 737-2524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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