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Paul Jackson, PTA
NPI 1639339443 · on the registry since 2008
Practice
- Address
- 660 S Coronado Dr
Sierra Vista, AZ 85635 - Phone
- (520) 459-4900
- Organisation at this address
- Hacienda
Kindred- Hacienda
Haven Of Sierra Vista, Llc
Kindred Nursing Centers West, Llc
Kindred Nursing Rehabilitation HaciendaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-16
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 Arizona