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1740425735
SANDRA RENEE JACKSON
MANLIUS, NY
NPI
1740425735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 025060)
Enumeration Date
2008-12-05
Last Update Date
2015-02-27
Business Address
-- SANDRA RENEE JACKSON PT, DPT, CHT
4476 WINDING CREEK RD
MANLIUS, NY 13104-2482
Phone number: 315-682-8341
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Mailing Address
-- SANDRA RENEE JACKSON PT, DPT, CHT
4476 WINDING CREEK RD
MANLIUS, NY 13104-8342
Phone number: 315-682-8341
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