Individual
JOANNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1129 E MARION ST, SHELBY, NC 28150-4843
(704) 471-0001
(704) 471-0004
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20023
NC
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/24/2019
Last updated
07/14/2021
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