Individual
DR. CARISSA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6409 S VINEWOOD ST, APT 1-308, LITTLETON, CO 80120-1812
(575) 644-5561
Mailing address
6409 S VINEWOOD ST, APT 1-308, LITTLETON, CO 80120-1812
(575) 644-5561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0013481
CO
225100000X
Physical Therapist
PTLP.0000009
CO
Other
Enumeration date
05/06/2015
Last updated
08/04/2015
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