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CHANDA D'RIECE JACKSON, P.T.

Active Sole Proprietor

CHANDA D'RIECE JACKSON, P.T. is a Physical Therapy Assistant healthcare provider located in THOMAS, Oklahoma. NPI 1063440436 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · THOMAS, OK

Registration Details

NPI Number
1063440436
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2006 (20.115912162761 yrs)
Last Updated
Mar 18, 2014
License
3728 (OK)
Sole Proprietor
Yes

Practice Information

Address
100 S 2ND STREET
THOMAS, OK, 73669
Browse OK providers · Browse ZIP 73669
Phone
5806612639
Fax
5806612640
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in THOMAS, OK

Name Credential NPI
SHELBY THOMAS DPT 1982144101
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.