Individual
CLAIRE EMMA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401
Mailing address
13000 RIVERS BEND BLVD STE D, CHESTER, VA 23836-8632
(804) 526-5888
(804) 526-5401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209896
VA
225100000X
Physical Therapist
Primary
PT015445
OH
Other
Enumeration date
01/06/2016
Last updated
02/04/2019
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