Chanda Jackson, P.T

NPI 1063440436 · on the registry since 2006 · sole proprietor

Practice

Address: 100 S 2nd Street
Thomas, OK 73669
Phone: (580) 661-2639
Fax: (580) 661-2640
Organisation at this address: Clinton Hma Llc
Harmony Healthcare Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-03-18

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 Oklahoma