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Individual

CURTIS GERARD JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA, CNA

Contact information

Practice address
1114 MARTIN DR, COLORADO SPRINGS, CO 80915-2213
(720) 845-9990
Mailing address
1114 MARTIN DR, COLORADO SPRINGS, CO 80915-2213

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014828
CO

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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