NPI 1720864994

Stacy Jackson

Practitioner Rehabilitation Practitioner Washington, DC

Practice location

Address: 1100 H St NW, Washington, DC 20005-5476
Phone: (888) 701-3131
Mailing address: 850 Towbin Ave, Lakewood, NJ 08701-5928

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

Other Rehabilitation Practitioner providers in District of Columbia →

Registry record

NPI: 1720864994
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2023
Record last updated: 5 Sep 2023

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.