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Organization

DR. BRANDIE JACKSON, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDIE JACKSON TENA DPT, CLT (DOCTOR OF PHYSICAL THERAPY)
(757) 707-0945
Entity
Organization

Contact information

Practice address
3902 ROCHAMBEAU DR, WILLIAMSBURG, VA 23188-6620
(757) 707-0945
Mailing address
3902 ROCHAMBEAU DR, WILLIAMSBURG, VA 23188-6620
(757) 707-0945

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/01/2021
Last updated
02/01/2021
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