MRS. Elena Patricia Jackson, PT
NPI #1619131414 in Lanoka Harbor, New Jersey
Provider Information
- NPI Number
- 1619131414
- Entity Type
- Individual
- Name
- MRS. Elena Patricia Jackson, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- PT
- Enumeration Date
- Jul 11, 2008
- Last Updated
- Jul 11, 2008
Practice Location
- Address
- 703 ANGELIQUE CT
- City
- Lanoka Harbor
- State
- New Jersey
- ZIP Code
- 08734-2231
- Phone
- (609) 971-5348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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