JACOB JACKSON

MANNINGTON, WV
NPI1326831801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2025-05-27
Last Update Date2025-05-28
Business Address
JACOB JACKSON DPT
802 E MAIN ST
MANNINGTON, WV 26582-1215
Phone number: 304-986-9007
Mailing Address
JACOB JACKSON DPT
1500 GRAND CENTRAL AVE STE 101
VIENNA, WV 26105-1079
Phone number: