SAMUEL JACKSON, DPT
Physical Therapist
Active
Individual
NPI: 1811511199
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 10222 (SC) |
Frequently Asked Questions
NPI 1811511199 is the National Provider Identifier for SAMUEL JACKSON, DPT, a Physical Therapist provider located in Mt Pleasant, SC. This NPI was enumerated on June 3, 2020.
SAMUEL JACKSON, DPT practices at 1125 LANDAU LN, Mt Pleasant, SC 29466.
Quick Facts
- NPI
- 1811511199
- Type
- Individual
- Enumerated
- Jun 3, 2020
- Last Updated
- Oct 20, 2022
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