Individual
MRS. JESSICA ROBIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 DELAWARE AVE, DELMAR, DE 19940-1110
(302) 846-3077
(302) 846-3462
Mailing address
101 DELAWARE AVE, DELMAR, DE 19940-1110
(302) 846-3077
(302) 846-3462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000704
DE
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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