NPI | 1205266764 |
---|---|
Doing Business As | JACKSON PHYSICAL THERAPY AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | BRANDON L JACKSON Physical Therapist 702-845-1386 |
Organization Subpart ? | No |
Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: NV 1365) |
Enumeration Date | 2013-11-20 |
Last Update Date | 2014-05-02 |