John Jackson

NPI #1992202832 in Chittenango, New York

Provider Information

NPI Number: 1992202832
Entity Type: Individual
Name: John Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 8, 2018
Last Updated: Apr 8, 2018

Practice Location

Address: 209 LAKE ST
City: Chittenango
State: New York
ZIP Code: 13037-1518
Phone: (315) 256-3615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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