Individual
AISHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 1ST ST NE FL 9, WASHINGTON, DC 20002-7953
(202) 321-5265
(202) 629-4647
Mailing address
812 TAYLOR ST NE APT 3, WASHINGTON, DC 20017-2012
(202) 321-5265
(202) 629-4647
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2644
DC
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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