Deborah Ann Jackson, PTA

NPI #1659039824 in Streator, Illinois

Provider Information

NPI Number
1659039824
Entity Type
Individual
Name
Deborah Ann Jackson, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Dec 3, 2021
Last Updated
Dec 3, 2021

Practice Location

Address
1525 E MAIN ST
ZIP Code
61364-3162
Phone
(815) 672-4516

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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