Individual
MS. JANIS ARLEAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3512 EXCEL DR STE 105, MEDFORD, OR 97504-9850
(541) 245-0419
(541) 245-0426
Mailing address
3512 EXCEL DR STE 105, MEDFORD, OR 97504-9850
(541) 245-0419
(541) 245-0426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08248
OR
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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