Individual
CHRISTINA M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT PHYSICAL THERAPIS
Contact information
Practice address
2312 BENNETT AVE, POINT PLEASANT, NJ 08742
(732) 295-8664
Mailing address
2312 BENNETT AVE, POINT PLEASANT, NJ 08742
(732) 295-8664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00904700
NJ
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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