Julie Jackson

NPI #1184838542 in Monroe, Wisconsin

Provider Information

NPI Number: 1184838542
Entity Type: Individual
Name: Julie Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 516 26TH AVE
City: Monroe
State: Wisconsin
ZIP Code: 53566-1531
Phone: (608) 325-9141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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