Amy Estelle Jackson P.T.

NPI 1427322940 - Physical Therapist - 225100000X

NPI Details
NPI 1427322940
Gender Female
Enumeration Date 03/01/2012
Last Updated 03/01/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
2111 RIVERWALK DR
MOORE OK, 73160-2700, US
Phone (405) 793-7885
Fax
Business Location
2111 RIVERWALK DR.
MOORE OK, 73160, US
Phone (405) 793-7885
Fax
Toxanomy
Taxonomy Code 225100000X
License State Oklahoma
License Number 3496
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According to our database, Mrs. Amy Estelle Jackson P.T. NPI is 1427322940, taxonomy code is 225100000X and license number is 3496, license state is located at Oklahoma. Amy Estelle Jackson P.T. physically located at 2111 Riverwalk Dr, Moore OK, 73160-2700. NPI Number Amy Estelle Jackson P.T. has the Individual type.

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1427322940 NPI number is provided on an as is basis without warranty of any kind. 1427322940 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Estelle Jackson P.T. are for informational purposes only.