Individual
SHARI AISHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3905 DIX ST NE, WASHINGTON, DC 20019-1401
(202) 680-4864
(202) 847-3769
Mailing address
65 WELLSPRING DR, FREDERICKSBURG, VA 22405-2938
(540) 273-5031
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306605425
VA
225200000X
Physical Therapy Assistant
Primary
PTA000203
DC
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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