Individual
ERIC WINFRED JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
3662 INWOOD AVENUE, NEW ORLEANS, LA 70131
(504) 813-5065
(504) 282-4407
Mailing address
3662 INWOOD AVENUE, NEW ORLEANS, LA 70131
(504) 813-5065
(504) 282-4407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06827R
LA
Other
Enumeration date
10/11/2006
Last updated
07/30/2014
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