Crystal Dawn Jackson

NPI #1760137889 in Poway, California

Provider Information

NPI Number: 1760137889
Entity Type: Individual
Name: Crystal Dawn Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Feb 17, 2022
Last Updated: Feb 17, 2022

Practice Location

Address: 14219 KENDRA WAY
City: Poway
State: California
ZIP Code: 92064-3330
Phone: (858) 837-0180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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