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Individual

MR. BARRY A JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, MPT

Contact information

Practice address
8601 VILLAGE DR, SUITE #220, SAN ANTONIO, TX 78217-5512
(210) 599-2030
(210) 590-0639
Mailing address
8601 VILLAGE DR, SUITE #220, SAN ANTONIO, TX 78217-5512
(210) 599-2030
(210) 590-0639

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1070471
TX

Other

Enumeration date
02/22/2008
Last updated
02/22/2008
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