Individual
ELIZABETH JANE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2241 GREAT ROCK RD, VESTAVIA HILLS, AL 35216-2121
(334) 451-5385
Mailing address
1919 OXMOOR RD # 411, HOMEWOOD, AL 35209-3502
(334) 451-5385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9342
AL
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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