Individual
CHRISTY TUNNELL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1700 NE INDIAN RIVER DR, JENSEN BEACH, FL 34957-5853
(772) 225-1355
(772) 225-8037
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18429
FL
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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