MS. EARLENE JACKSON, PT, DPT
Physical Therapist
Active
Individual
NPI: 1417223256
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 23062 (MD) |
Frequently Asked Questions
NPI 1417223256 is the National Provider Identifier for MS. EARLENE JACKSON, PT, DPT, a Physical Therapist provider located in Lanham, MD. This NPI was enumerated on March 27, 2012.
MS. EARLENE JACKSON, PT, DPT practices at 7404 EXECUTIVE PL, #300B, Lanham, MD 20706.
Quick Facts
- NPI
- 1417223256
- Type
- Individual
- Enumerated
- Mar 27, 2012
- Last Updated
- Feb 28, 2014
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