Organization
ASIS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA MARIE JACKSON DPT (DOCTOR OF PHYSICAL THERAPY)
(858) 349-4869
Entity
Organization
Contact information
Practice address
11848 BERNARDO PLAZA CT STE 100, SAN DIEGO, CA 92128-2417
(888) 673-2263
Mailing address
11848 BENARDO PLAZA CT, SUITE 100, SAN DIEGO, CA 92128
(858) 349-4859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
394995
CA
Other
Enumeration date
10/06/2008
Last updated
02/24/2017
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