Individual
JASMINE S JACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
131 MILLER ST, WINSTON SALEM, NC 27103-2508
(336) 716-8154
Mailing address
7032 AVENBURY CIR, KERNERSVILLE, NC 27284-9638
(803) 587-7276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20755
NC
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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