Individual
MR. CHRISTOPHER CARL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
12739 HIGHWAY 171 STE B, LONGVILLE, LA 70652-5050
(337) 317-9290
(337) 725-4457
Mailing address
12739 HIGHWAY 171 STE B, LONGVILLE, LA 70652-5050
(337) 317-9290
(337) 725-4457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06912
LA
Other
Enumeration date
04/05/2018
Last updated
02/17/2021
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