Individual
AUSTIN R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 PHOENIX AVE, BELLEFONTE, PA 16823-1309
(814) 574-0328
Mailing address
380 PHOENIX AVE, BELLEFONTE, PA 16823-1309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
03/06/2025
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