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Individual

BRAY THOMAS JACKSON

Active
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Individual

BRAY THOMAS JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P25099
NC
225100000X
Physical Therapist
Primary
PT030626
PA
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/11/2019
Last updated
08/07/2026
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