The Jackson Clinics LLC
NPI #1427034982 in Middleburg, Virginia
Provider Information
- NPI Number
- 1427034982
- Entity Type
- Organization
- Organization Name
- The Jackson Clinics LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 16, 2005
- Last Updated
- Dec 20, 2013
Practice Location
- Address
- 107 W FEDERAL ST
- Address 2
- BUILDING A, SUITE 1
- City
- Middleburg
- State
- Virginia
- ZIP Code
- 20117-2633
- Phone
- (540) 687-8181
Authorized Official
- Name
- RICHARD JACKSON, PT
- Title
- OPERATING MANAGER
- Phone
- (540) 687-8181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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