CHARLENE J. JACKSON

ASHTABULA, OH
NPI1417073552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OH  PT01263)
Enumeration Date2007-03-21
Last Update Date2012-04-02
Business Address
-- CHARLENE J. JACKSON PT
416 W 27TH ST
ASHTABULA, OH 44004-4975
Phone number: 440-997-5427
Mailing Address
-- CHARLENE J. JACKSON PT
416 W 27TH ST
ASHTABULA, OH 44004-4975
Phone number: 440-997-5427
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