JOHNETTA JACKSON, PTA

Physical Therapy Assistant

Active Individual
NPI: 1992149066

Practice Address

9701 MEDICAL CENTER DR
Rockville, MD 20850

Phone: (301) 315-1900

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes A2691 (MD)

Frequently Asked Questions

NPI 1992149066 is the National Provider Identifier for JOHNETTA JACKSON, PTA, a Physical Therapy Assistant provider located in Rockville, MD. This NPI was enumerated on April 19, 2013.
JOHNETTA JACKSON, PTA practices at 9701 MEDICAL CENTER DR, Rockville, MD 20850.

Quick Facts

NPI
1992149066
Type
Individual
Enumerated
Apr 19, 2013
Last Updated
Apr 19, 2013

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