Individual
CHRISTINA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
125 AKERS FARM RD STE B, CHRISTIANSBURG, VA 24073-4867
(434) 485-8500
Mailing address
125 AKERS FARM RD, CHRISTIANSBURG, VA 24073-4866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603889
VA
Other
Enumeration date
11/03/2021
Last updated
04/15/2022
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