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Bethany Jackson
NPI 1669830204 · on the registry since 2016 · sole proprietor
Practice
- Address
- 10 Marshall St
Apt 5a
Irvington, NJ 07111 - Phone
- (201) 344-3960
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-02-09
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