MICHAEL JOHN JACKSON

LOS ALAMITOS, CA
NPI1710126560
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  35367)
Enumeration Date2009-02-17
Last Update Date2009-02-17
Business Address
Mr. MICHAEL JOHN JACKSON MPT, B.Ed.
4226 KATELLA AVE
LOS ALAMITOS, CA 90720-3511
Phone number: 562-431-6004
Mailing Address
Mr. MICHAEL JOHN JACKSON MPT, B.Ed.
7890 E SPRING ST # 11-I
LONG BEACH, CA 90815-1636
Phone number: 714-656-7576
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