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1598997751
TIMOTHY WILLIAM JACKSON
CHARLOTTE, NC
NPI
1598997751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: NC 2271)
Enumeration Date
2009-08-20
Last Update Date
2009-08-20
Business Address
Dr. TIMOTHY WILLIAM JACKSON D.P.T.
8918 BLAKENEY PROFESSIONAL DR SUITE 120
CHARLOTTE, NC 28277-6691
Phone number: 704-900-8960
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Mailing Address
Dr. TIMOTHY WILLIAM JACKSON D.P.T.
8918 BLAKENEY PROFESSIONAL DR SUITE 120
CHARLOTTE, NC 28277-6691
Phone number: 704-900-8960
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