Individual
JACKSON HANKS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2901 COMMERCE XING, COMMERCE TOWNSHIP, MI 48390-3084
(248) 960-0955
Mailing address
2901 COMMERCE XING, COMMERCE TOWNSHIP, MI 48390-3084
(248) 960-0955
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
MI
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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