Search › New Jersey › 172V00000X
Elena Jackson, PT
NPI 1619131414 · on the registry since 2008 · sole proprietor
Practice
- Address
- 703 Angelique Ct
Lanoka Harbor, NJ 08734 - Phone
- (609) 971-5348
- Fax
- (609) 971-0827
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-11
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 Jersey