Individual
JACKSON RAWLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1242 ANCHOR DR, MOBILE, AL 36693-4500
(251) 422-4188
Mailing address
1242 ANCHOR DR, MOBILE, AL 36693-4500
(251) 422-4188
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PTH 5860
AL
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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