Individual
DR. AARON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, DPT
Contact information
Practice address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610
(804) 543-6039
Mailing address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610
(804) 543-6039
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OT021545
PA
225100000X
Physical Therapist
23052009002
VA
Other
Enumeration date
03/30/2015
Last updated
02/22/2023
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