Individual
MICHAEL J JACKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6499 E BROAD ST, SUITE 140, COLUMBUS, OH 43213-6505
(614) 355-9760
Mailing address
6499 E BROAD ST, SUITE 140, COLUMBUS, OH 43213-6505
(614) 355-9760
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11481
OH
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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