Individual
CARLEY M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
3200 VINE ST, CINCINNATI, OH 45220-2213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019316
OH
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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