SearchSouth CarolinaPhysical Therapy Assistant

Justin Jackson

NPI 1013470285 · on the registry since 2019

Practice

Address
22 Eugenia Ct
Cordova, SC 29039
Phone
(803) 707-5824

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina