MR. Austin Jacob Jackson, PT., DPT.

NPI #1194242388 in Bridgeview, Illinois

Provider Information

NPI Number: 1194242388
Entity Type: Individual
Name: MR. Austin Jacob Jackson, PT., DPT.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT., DPT.
Enumeration Date: Aug 28, 2017
Last Updated: Aug 28, 2017

Practice Location

Address: 8755 S HARLEM AVE
City: Bridgeview
State: Illinois
ZIP Code: 60455
Phone: (708) 430-2295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist	225100000X	Primary

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