Individual
BROOKE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 WADE HAMPTON BLVD, TAYLORS, SC 29687-5628
(864) 686-6070
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 682-8840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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