MRS. Amy Estelle Jackson, P.T.

NPI #1427322940 in Moore, Oklahoma

Provider Information

NPI Number: 1427322940
Entity Type: Individual
Name: MRS. Amy Estelle Jackson, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Mar 1, 2012
Last Updated: Mar 1, 2012

Practice Location

Address: 2111 RIVERWALK DR
City: Moore
State: Oklahoma
ZIP Code: 73160-2700
Phone: (405) 793-7885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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