JUSTIN JACKSON
Physical Therapy Assistant
Active
Individual
NPI: 1013470285
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 4014 (SC) |
Frequently Asked Questions
NPI 1013470285 is the National Provider Identifier for JUSTIN JACKSON, a Physical Therapy Assistant provider located in Cordova, SC. This NPI was enumerated on April 12, 2019.
JUSTIN JACKSON practices at 22 EUGENIA CT, Cordova, SC 29039.
Quick Facts
- NPI
- 1013470285
- Type
- Individual
- Enumerated
- Apr 12, 2019
- Last Updated
- Apr 12, 2019
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