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Henry Jackson, P.T
NPI 1063667053 · on the registry since 2008 · sole proprietor
Practice
- Address
- 5605 Tilden Ave
Brooklyn, NY 11203 - Phone
- (718) 451-2905
- Fax
- (718) 451-2577
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-11-18
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 New York