NPI 1013470285

Justin Jackson

Practitioner Physical Therapy Assistant Cordova, SC

Practice location

Address: 22 Eugenia CT, Cordova, SC 29039-9635
Phone: (803) 707-5824

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4014 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1013470285
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2019
Record last updated: 12 Apr 2019

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.