Diane Jackson
Diane Jackson is a Physical Therapist in Utica, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
Practice location Address checks out
1676 Sunset Ave Physical & Occupational Therapy UnitUtica, NY 13502-5416
Phone: (315) 624-5400
Fax: (315) 624-5395
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 002483 (NY) |
|---|
Record details
| NPI number | 1992162259 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 18, 2016 |
| Last updated in NPPES | January 18, 2016 |
| Mailing address | 1676 Sunset Ave, Physical & Occupational Therapy Unit, Utica, NY 13502-5416 |
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