Individual
ERICA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7989 BELT LINE RD STE 90, DALLAS, TX 75248-5728
(972) 942-2475
(972) 645-0687
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1243858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1243858
PHYSICAL THERAPIST - REGULAR LICENSE
TX
Enumeration date
06/03/2014
Last updated
08/13/2021
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