Bonnie Jean Jackson in Brewster - Physical Therapist
Bonnie Jean Jackson - NPI 1033127592
Bonnie Jean Jackson is a Physical Therapist in Brewster, Massachusetts. Bonnie Jean Jackson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Bonnie Jean Jackson is 1033127592. The last update date is 2007-07-08.
Bonnie Jean Jackson's current location address is 16 Poplar Ln, Brewster, Massachusetts. You can contact this provider via phone number 5082400024. The mailing address for Bonnie Jean Jackson is 16 Poplar Ln, Brewster, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Jean Jackson |
|---|---|
| Address | 16 Poplar Ln, Brewster, Massachusetts |
| Phone Number | 5082400024 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1033127592 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16 Poplar Ln |
|---|---|
| City | Brewster |
| State | Massachusetts (MA) |
| Post Code | 26312138 |
| Phone Number | 5082400024 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 11679 |
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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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What is the unique 10-digit identifier code issued to Bonnie Jean Jackson by the Centers for Medicare & Medicaid Services?
The Bonnie Jean Jackson has been assigned the NPI (National Provider Identifier) 1033127592 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Bonnie Jean Jackson is physically located?
The Bonnie Jean Jackson is situated at the following address: 16 Poplar Ln, Brewster, MA 26312138.
What is Bonnie Jean Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bonnie Jean Jackson is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033127592 to Bonnie Jean Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1033127592 to Bonnie Jean Jackson on 2006-08-03.
As of what date was the information regarding Bonnie Jean Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bonnie Jean Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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