Bethany I Jackson
NPI #1669830204 in Irvington, New Jersey
Provider Information
- NPI Number
- 1669830204
- Entity Type
- Individual
- Name
- Bethany I Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Feb 9, 2016
- Last Updated
- Feb 9, 2016
Practice Location
- Address
- 10 MARSHALL ST
- Address 2
- APT 5A
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-8701
- Phone
- (201) 344-3960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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