THOMAS WILLIAM JACKSON MSPT

NEWARK, NY
NPI1326682618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  011505)
Enumeration Date2019-10-30
Last Update Date2021-12-07
Business Address
Mr. THOMAS WILLIAM JACKSON MSPT PT
1200 DRIVING PARK AVE
NEWARK, NY 14513-1090
Phone number: 315-332-2289
Mailing Address
Mr. THOMAS WILLIAM JACKSON MSPT PT
PO BOX 111
NEWARK, NY 14513-0111
Phone number: 315-332-2289
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