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Individual

MS. KRISTEN D JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
(410) 646-3623
Mailing address
201 DEFENSE HWY, STE 100, ANNAPOLIS, MD 21401-8902
(667) 204-7000
(443) 481-4151

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22934
MD

Other

Enumeration date
08/04/2009
Last updated
10/17/2018
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