MR. Richard Thomas Jackson, PT
NPI #1174698120 in Middleburg, Virginia
Provider Information
- NPI Number
- 1174698120
- Entity Type
- Individual
- Name
- MR. Richard Thomas Jackson, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 204 EAST FEDERAL STREET
- Address 2
- SUITE C
- City
- Middleburg
- State
- Virginia
- ZIP Code
- 20118
- Phone
- (540) 687-6565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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