Individual
CATHERINE MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
906 GINKGO PL, WINDSOR, CA 95492-8155
(707) 292-8985
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2690
CA
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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