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Individual

DR. DOMINIC A JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
16210 BRAESGATE DR, AUSTIN, TX 78717-4850
(408) 568-1586
Mailing address
16210 BRAESGATE DR, AUSTIN, TX 78717-4850
(408) 568-1586

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1315070
TX

Other

Enumeration date
04/09/2019
Last updated
04/09/2019
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