MR. Thomas Eugene Jackson, PT
NPI #1790979292 in Azusa, California
Provider Information
- NPI Number
- 1790979292
- Entity Type
- Individual
- Name
- MR. Thomas Eugene Jackson, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Aug 28, 2007
- Last Updated
- Aug 30, 2007
Practice Location
- Address
- 830 S. CITRUS AVE
- Address 2
- SUITE 203
- City
- Azusa
- State
- California
- ZIP Code
- 91702
- Phone
- (626) 339-6514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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