Individual
ROXIE J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
32 LAUREL AVE, KEANSBURG, NJ 07734-1125
(732) 787-8100
Mailing address
31 MORRIS PL, D-31, BLOOMFIELD, NJ 07003-3755
(973) 303-1234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NJ
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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