Individual
DANIELLE ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7819 WAYNETOWNE BLVD, DAYTON, OH 45424-2063
(937) 938-1583
(937) 938-6723
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019728
OH
Other
Enumeration date
05/27/2022
Last updated
08/26/2022
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