Justin Jackson
Physical Therapy Assistant
22 Eugenia Ct
Cordova
, South Carolina 29039-9635
Justin Jackson
Physical Therapy Assistant
22 Eugenia Ct
Cordova
, South Carolina 29039-9635
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Justin Jackson
- 22 Eugenia Ct
- Cordova, SC
- Zip : 29039-9635
- Phone :
Second Address
- Justin Jackson
- 22 Eugenia Ct
- Cordova, SC
- Zip : 29039-9635
- Phone : (803) 707-5824
Reviews
FAQs
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What type of doctor is Justin Jackson
In what state does Justin Jackson practice in?
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What is Justin Jackson ’s gender?
Is Justin Jackson a sole practitioner?
Is Justin Jackson accepting new patients?
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Does Justin Jackson offers telemedicine?
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Does Justin Jackson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 4014 | SC |
National Provider Identifier
| NPI | 1013470285 |
|---|---|
| Provider Name | Justin Jackson |
| First Address | Cordova, SC 29039-9635 |
| Second Address | Cordova, SC 29039-9635 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.