DR. Mary Jill Jackson, PT, DPT

NPI #1962620021 in Pleasanton, California

Provider Information

NPI Number: 1962620021
Entity Type: Individual
Name: DR. Mary Jill Jackson, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Apr 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5000 HOPYARD RD
Address 2: 220
City: Pleasanton
State: California
ZIP Code: 94588-3348
Phone: (800) 493-2988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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