NPI 1124421631

Jackson Therapy

Organisation Early Intervention Provider Agency Gun Barrel City, TX

Practice location

Address: 849 S Gun Barrel Ln # Lm Unit G5, Gun Barrel City, TX 75156-9335
Phone: (610) 737-2524

Authorised official

Name: Samantha Moyer
Title: Physical Therapist
Phone: (610) 737-2524

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 1249341 (TX)

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Registry record

NPI: 1124421631
Entity type: Organization
NPI issued: 29 Sep 2014
Record last updated: 29 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.