Individual
DARBI S. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3831
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212412
—
AL
05
—
890011680
—
AL
05
—
890011690
—
AL
05
—
890011700
—
AL
01
—
PTH3831
STATE PHYSICAL THERAPIST LICENSE
AL
Enumeration date
09/27/2005
Last updated
01/16/2020
Update your record
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