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1982812244
JAMIE A JACKSON
PHILADELPHIA, PA
NPI
1982812244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA 018657)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- JAMIE A JACKSON MPT
2301 N BROAD ST
PHILADELPHIA, PA 19132-4504
Phone number: 215-228-2656
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Mailing Address
-- JAMIE A JACKSON MPT
1336 65TH AVE
PHILADELPHIA, PA 19126-3612
Phone number: 301-254-1545
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