Individual
KELLI TRACY JACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
981 DOWLING BLVD, SAN LEANDRO, CA 94577-2125
(510) 638-9618
Mailing address
981 DOWLING BLVD, SAN LEANDRO, CA 94577-2125
(510) 638-9618
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 28294
CA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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