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Gabrielle Jackson
NPI 1982333472 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1 Masonic Way
Sullivan, IL 61951 - Phone
- (217) 728-3700
- Organisation at this address
- Petersen Health Care Vii Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-09
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 Illinois