Deborah A Jackson in St Augustine - Physical Therapist
Deborah A Jackson - NPI 1336107408
Deborah A Jackson is a Physical Therapist in St Augustine, Florida. Deborah A Jackson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Deborah A Jackson is 1336107408. The last update date is 2012-10-19.
Deborah A Jackson's current location address is 319 W Town Pl, St Augustine, Florida. You can contact this provider via phone number 9043425262 and fax number 9042173580. The mailing address for Deborah A Jackson is 319 W Town Pl, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah A Jackson |
|---|---|
| Address | 319 W Town Pl, St Augustine, Florida |
| Phone Number | 9043425262 |
| Fax Number | 9042173580 |
| Sole Proprietor | Y |
| Credentials | PHD,PT, OC |
NPI Number Detail
| NPI Number | 1336107408 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2012-10-19 |
Provider Mailing Address Detail
| Address | 319 W Town Pl |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320923101 |
| Phone Number | 9043425262 |
| Fax Number | 9042173580 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT11000 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GE918Z | MEDICARE | ||
| Y5614 | BCBS |
Post Comment/ Review Below
What is the Deborah A Jackson's unique identification number?
The Deborah A Jackson has been assigned the NPI (National Provider Identifier) Number 1336107408 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Deborah A Jackson?
The Deborah A Jackson is situated at 319 W Town Pl, in the city of St Augustine, state of FL, with the zip code 320923101.
What is Deborah A Jackson's area of expertise and its corresponding taxonomy classification?
The Deborah A Jackson's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
When was the Deborah A Jackson's 1336107408 issued?
The Deborah A Jackson's 1336107408 was issued on 2006-05-01.
When was the information regarding Deborah A Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Deborah A Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-19.