Shannon Jackson, REHABTECH
Shannon Jackson, REHABTECH is an Other Technician in South Bend, Indiana. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1950 Ridgedale RdSouth Bend, IN 46614-2243
Phone: (574) 291-6722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1144427329 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | REHABTECH |
| Sole proprietor | No |
| NPI enumerated | June 29, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 507 E Broadway St, South Bend, IN 46601-3503 |
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