Gabrielle Elyse Jackson

NPI #1982333472 in Sullivan, Illinois

Provider Information

NPI Number
1982333472
Entity Type
Individual
Name
Gabrielle Elyse Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Jun 9, 2022
Last Updated
Jun 9, 2022

Practice Location

Address
1 MASONIC WAY
ZIP Code
61951-9467
Phone
(217) 728-3700

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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