REUBEN JACKSON

FORT COLLINS, CO
NPI1093144990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA.0013262)
Enumeration Date2013-11-01
Last Update Date2013-11-01
Business Address
-- REUBEN JACKSON
1217 BUTTONWOOD DR
FORT COLLINS, CO 80525-1911
Phone number: 970-305-6019
Mailing Address
-- REUBEN JACKSON
1217 BUTTONWOOD DR
FORT COLLINS, CO 80525-1911
Phone number: 970-305-6019
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