Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRIA JACKSON
Active Sole ProprietorANDRIA JACKSON is a Physical Therapist Assistant healthcare provider located in UPPER MARLBORO, Maryland. NPI 1073138285 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · UPPER MARLBORO, MD
Registration Details
- NPI Number
- 1073138285
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2020 (6.1919529623953 yrs)
- Last Updated
- Jun 12, 2020
- License
-
407120 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9560 MARLBORO PIKE STE 105UPPER MARLBORO, MD, 207723770Browse MD providers · Browse ZIP 20772
- Phone
- 3015357542
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in UPPER MARLBORO, MD
| Name | Credential | NPI |
|---|---|---|
| JENNIFER WINSTON | — | 1962942011 |
| AJA SHANAE NELSON | HAIR LOSS SPECIALIST | 1770055865 |
| KATOYA NICOLE SHAW | HAIR LOSS SPECIALIST | 1538723267 |
| CHARNITA R DIXON | — | 1588346191 |
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.