Individual
JANE M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16838 E PALISADES BLVD, BLDG B, FOUNTAIN HILLS, AZ 85268-3845
(480) 837-2595
(480) 837-2773
Mailing address
9097 E DESERT COVE AVE, SUITE110, SCOTTSDALE, AZ 85260-6710
(480) 860-4298
(480) 860-0356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6716A
AZ
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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