Misty Marie Jackson, PTA

NPI #1457122012 in Frostburg, Maryland

Provider Information

NPI Number
1457122012
Entity Type
Individual
Name
Misty Marie Jackson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jan 12, 2024
Last Updated
Jan 12, 2024

Practice Location

Address
48 TARN TER
ZIP Code
21532-1242
Phone
(301) 689-1391

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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