Andrea Jackson
NPI #1861215840 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1861215840
- Entity Type
- Individual
- Name
- Andrea Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Nov 6, 2024
- Last Updated
- Nov 6, 2024
Practice Location
- Address
- 2120 S WALDRON RD STE C
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-3689
- Phone
- (479) 452-0424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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