CHANDA JACKSON, P.T.
Physical Therapist
Active
Individual
NPI: 1063440436
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 3728 (OK) |
Frequently Asked Questions
NPI 1063440436 is the National Provider Identifier for CHANDA JACKSON, P.T., a Physical Therapist provider located in Thomas, OK. This NPI was enumerated on June 28, 2006.
CHANDA JACKSON, P.T. practices at 100 S 2ND STREET, Thomas, OK 73669.
Quick Facts
- NPI
- 1063440436
- Type
- Individual
- Enumerated
- Jun 28, 2006
- Last Updated
- Mar 18, 2014
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