Individual
CLAIRE EMMA JACKSON
Active
Individual
CLAIRE EMMA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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