STEPHANIE JACKSON

MUNSTER, IN
NPI1851885271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002692A)
Enumeration Date2018-06-19
Last Update Date2018-06-19
Business Address
STEPHANIE JACKSON PTA
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number: 219-836-1600
Mailing Address
STEPHANIE JACKSON PTA
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number: 219-836-1600