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Ebonie Jackson, PTA
NPI 1710441522 · on the registry since 2019
Practice
- Address
- 1045 Broadway Park Ste 107
Homewood, AL 35209 - Phone
- (205) 573-6278
- Fax
- (205) 573-6280
- Organisation at this address
- Benchmark Physical Therapy Of Alabama, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-25
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 Alabama