BETHANY I JACKSON

IRVINGTON, NJ
NPI1669830204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NJ  40QB00293000)
Enumeration Date2016-02-09
Last Update Date2016-02-09
Business Address
-- BETHANY I JACKSON
10 MARSHALL ST APT 5A
IRVINGTON, NJ 07111-8701
Phone number: 201-344-3960
Mailing Address
-- BETHANY I JACKSON
10 MARSHALL ST APT 5A
IRVINGTON, NJ 07111-8701
Phone number: 201-344-3960
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