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Wayne Jackson, DPT
NPI 1104204668 · on the registry since 2015
Practice
- Address
- 10300b Baltimore National Pike
Ellicott City, MD 21042 - Phone
- (410) 988-5171
- Fax
- (410) 988-5349
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-04
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 Maryland