Individual
DR. JEANNA PATRICE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
2021 K ST NW, SUITE 750, WASHINGTON, DC 20006-1003
(202) 293-1853
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209240
VA
225100000X
Physical Therapist
Primary
23935
MD
225100000X
Physical Therapist
871328
DC
Other
Enumeration date
02/20/2012
Last updated
01/27/2015
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