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

MADELINE JACKSON, DPT

Active

MADELINE JACKSON, DPT is a Physical Therapy Assistant healthcare provider located in BROOMALL, Pennsylvania. NPI 1407443724 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BROOMALL, PA

Registration Details

NPI Number
1407443724
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2020 (5.6483556232901 yrs)
Last Updated
Nov 15, 2021
Licenses
63821 (OR)
PT029615 (PA)

Practice Information

Address
580 REED RD STE 3
BROOMALL, PA, 190083655
Browse PA providers · Browse ZIP 19008
Phone
6103566211
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BROOMALL, PA

Name Credential NPI
STEPHEN TODARO PT 1720053622
JEREMY JON GRESH DPT 1891753901
MR. RICHARD K SWALLOW LPT 1447299276
MRS. TONIA VIRNELSON P.T. 1538172796
MRS. JENNIFER LEE O'GARA MPT 1124132212
MRS. TAMARA CROWE BEAN MSPT 1518015031
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.