DOMINIC A JACKSON

AUSTIN, TX
NPI1720541550
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1315070)
Enumeration Date2019-04-09
Last Update Date2019-04-09
Business Address
Dr. DOMINIC A JACKSON DPT
16210 BRAESGATE DR
AUSTIN, TX 78717-4850
Phone number: 408-568-1586
Mailing Address
Dr. DOMINIC A JACKSON DPT
16210 BRAESGATE DR
AUSTIN, TX 78717-4850
Phone number: 408-568-1586
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