Search › California › 225100000X
Joseph Jackson, R.P.T
NPI 1235306143 · on the registry since 2008 · sole proprietor
Practice
- Address
- 15640 S Normandie Ave
Gardena, CA 90247 - Phone
- (310) 631-8703
- Fax
- (310) 763-0400
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-09
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 California