Individual
DR. JOSEPH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS
Contact information
Practice address
41 CLARK ST, BROOKLYN, NY 11201-2415
(646) 518-5566
Mailing address
41 CLARK ST, BROOKLYN, NY 11201-2415
(646) 518-5566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
41653
CA
2251X0800X
Orthopedic Physical Therapist
Primary
041736
NY
Other
Enumeration date
09/23/2014
Last updated
07/21/2022
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