Donica Chivon Jackson, CPTA
NPI #1881039683 in Raytown, Missouri
Provider Information
- NPI Number
- 1881039683
- Entity Type
- Individual
- Name
- Donica Chivon Jackson, CPTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- CPTA
- Enumeration Date
- May 7, 2013
- Last Updated
- May 7, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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