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Individual
MR. JEFFREY LAWRENCE JEFFERSON
Active
Individual
MR. JEFFREY LAWRENCE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1083657
TX
2251G0304X
Geriatric Physical Therapist
1083657
TX
2251H1200X
Hand Physical Therapist
1083657
TX
2251S0007X
Sports Physical Therapist
1083657
TX
2251X0800X
Orthopedic Physical Therapist
1083657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T5135
BCBS PROVIDER #
TX
Enumeration date
01/11/2007
Last updated
09/11/2025
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