Individual
AMY W JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 MOUNT VERNON AVE, HUNTINGDON, PA 16652-1149
(814) 643-5724
(814) 643-6085
Mailing address
1301 MOUNT VERNON AVE, HUNTINGDON, PA 16652-1149
(814) 643-5724
(814) 643-6085
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT003399L
PA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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