John Jackson
John Jackson is a Physical Therapy Assistant in Chittenango, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2018
Practice location Address checks out
209 Lake StChittenango, NY 13037-1518
Phone: (315) 256-3615
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 011063 (NY) |
|---|
Record details
| NPI number | 1992202832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2018 |
| Last updated in NPPES | April 8, 2018 |
| Mailing address | 209 Lake St, Chittenango, NY 13037-1518 |