JOSEPH JACKSON

GARDENA, CA
NPI1235306143
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT5788)
Enumeration Date2008-05-09
Last Update Date2008-05-09
Business Address
Mr. JOSEPH JACKSON R.P.T.
15640 S NORMANDIE AVE
GARDENA, CA 90247-4016
Phone number: 310-631-8703
Mailing Address
Mr. JOSEPH JACKSON R.P.T.
1954 ATLANTIC AVE
LONG BEACH, CA 90806-5510
Phone number: 310-631-8703