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John Jackson, OTD
NPI 1447853486 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4422 E State Blvd
Fort Wayne, IN 46815 - Phone
- (260) 471-9286
- Clinicians at this address
- 378
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-20
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 Indiana