Kristen Lorraine Jackson, PTA

NPI #1952877045 in Hockessin, Delaware

Provider Information

NPI Number: 1952877045
Entity Type: Individual
Name: Kristen Lorraine Jackson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 16, 2018
Last Updated: Oct 16, 2018

Practice Location

Address: 720 YORKLYN RD STE 150
City: Hockessin
State: Delaware
ZIP Code: 19707-8729
Phone: (302) 234-2288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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