DR. Deborah A Jackson, PHD,PT, OCS,CMP, ATC
NPI #1336107408 in St Augustine, Florida
Provider Information
- NPI Number
- 1336107408
- Entity Type
- Individual
- Name
- DR. Deborah A Jackson, PHD,PT, OCS,CMP, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PHD,PT, OCS,CMP, ATC
- Enumeration Date
- May 1, 2006
- Last Updated
- Oct 19, 2012
Practice Location
- Address
- 319 W TOWN PL
- Address 2
- SUITE 5
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-3101
- Phone
- (904) 342-5262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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