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Ebonie Jackson

NPI 1598530271 · on the registry since 2023

Practice

Address
6829 Broadway Ave
Cleveland, OH 44105
Phone
(121) 627-1113
Fax
(216) 271-1325
Organisation at this address
Broadway Lifeforce Corporation
Cleveland Physical Therapy Corporation
Cleveland Medical Services Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
225700000X
225700000X
Sex
Female
Record last updated
2023-11-22

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 Ohio