Organization
JACKSON THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN LANINFA (RECRUITER)
(407) 308-3874
Entity
Organization
Contact information
Practice address
109 LEAF LN, HOLLIDAYSBURG, PA 16648-1037
(814) 201-4059
Mailing address
109 LEAF LN, HOLLIDAYSBURG, PA 16648-1037
(814) 201-4059
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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