Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEBORAH A JACKSON, PHD,PT, OCS,CMP, ATC

Active Sole Proprietor

Physical Therapy Assistant · ST AUGUSTINE, FL

Registration Details

NPI Number: 1336107408
Provider Type: Individual
Gender: Female
NPI Issued: May 1, 2006 (19.974087619645 yrs)
Last Updated: Oct 19, 2012
License: PT11000 (FL)
Sole Proprietor: Yes

Practice Information

Address: 319 W TOWN PL

SUITE 5

ST AUGUSTINE, FL, 320923101
Browse FL providers · Browse ZIP 32092
Phone: 9043425262
Fax: 9042173580
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ST AUGUSTINE, FL

Name	Credential	NPI
PATRICIA OCONNELL	PHYSICAL THERAPIST	1770567620
MR. JOSEPH N. WEBB	PT	1427015072
LYNN M O'DONNELL	PT	1962469064
MRS. DONNA BROWDER GRACE	P.T.	1114978756
MR. REGINO IRWIN BARISO REYES	PT	1861448557
MS. CATHERINE ANNE ACCURSO	PT	1699716092

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.