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Individual

BRAY JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
312 SLEEPY HOLLOW DR, MECHANICSBURG, PA 17055-6075
(724) 833-8258
Mailing address
715 GRINNAGE RUN RD, WAYNESBURG, PA 15370-3826

Taxonomy

Speciality
Code
Description
License number
State
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
12/05/2023
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