Amanda Jackson

NPI #1477982106 in Shillington, Pennsylvania

Provider Information

NPI Number: 1477982106
Entity Type: Individual
Name: Amanda Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 4, 2013
Last Updated: Oct 4, 2017

Practice Location

Address: 500 PHILADELPHIA AVE
City: Shillington
State: Pennsylvania
ZIP Code: 19607-2764
Phone: (610) 796-7022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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