Individual
MR. JACKSON HOWISON METCALF JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
4920 WOODMAR DR SW, ROANOKE, VA 24018-1651
(540) 400-0897
(540) 400-0904
Mailing address
4920 WOODMAR DR SW, ROANOKE, VA 24018-1651
(540) 400-0897
(540) 400-0904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001021
VA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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