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Candace Jackson, PTA
NPI 1639895816 · on the registry since 2022
Practice
- Address
- 825 Peninsula Dr
Davidson, NC 28036 - Phone
- (704) 896-3278
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-18
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 North Carolina