Individual
CORDELE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
210 CLEAVER FARMS RD STE 1, MIDDLETOWN, DE 19709-1670
(302) 449-2048
(302) 449-2047
Mailing address
1050 INDUSTRIAL DR STE 210, MIDDLETOWN, DE 19709-2803
(302) 449-2048
(302) 449-2047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0015165
DE
225100000X
Physical Therapist
Primary
—
DE
Other
Enumeration date
11/21/2025
Last updated
03/07/2026
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