Individual
BRANDY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 S 2ND ST, CHAMBERSBURG, PA 17201-2207
(717) 264-6815
Mailing address
357 GLEN ST, CHAMBERSBURG, PA 17201-1013
(717) 372-4677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002837
PA
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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