Organization
DEBORAH JACKSON THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH JACKSON (PRESIDENT)
(904) 342-5262
Entity
Organization
Contact information
Practice address
319 W TOWN PL, SUITE 5, ST AUGUSTINE, FL 32092-3101
(904) 342-5262
(904) 217-3580
Mailing address
319 W TOWN PL, SUITE 5, ST AUGUSTINE, FL 32092-3101
(904) 342-5262
(904) 217-3580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11000
FL
225100000X
Physical Therapist
PT20179
FL
225100000X
Physical Therapist
PT5569
FL
225100000X
Physical Therapist
PT7090
FL
225X00000X
Occupational Therapist
OT9478
FL
225XH1200X
Hand Occupational Therapist
OT7576
FL
235Z00000X
Speech-Language Pathologist
SA299
FL
Other
Enumeration date
05/22/2012
Last updated
06/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us