Individual
TODD JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1131 BEL AIR ROAD, UNIT 202, BEL AIR, MD 21014
(410) 877-8077
Mailing address
506 LAFAYETTE AVE, COLLINGDALE, PA 19023-4107
(610) 931-9035
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
S04265
MD
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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