DR. Damien S Jackson-Ricketts, PT, DPT
NPI #1346765195 in Venice, California
Provider Information
- NPI Number
- 1346765195
- Entity Type
- Individual
- Name
- DR. Damien S Jackson-Ricketts, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Aug 12, 2017
- Last Updated
- Feb 12, 2021
Practice Location
- Address
- 904 PALMS BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291-3853
- Phone
- (276) 768-7816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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