Individual
DAN P JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8502 EDGEMERE RD, DALLAS, TX 75225-3523
(214) 369-7995
Mailing address
8502 EDGEMERE RD, DALLAS, TX 75225-3523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1105468
TX
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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