| Doctor Name: | MISS JENNIFER JACKSON |
| NPI Number: | 1164591103 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT, DPT |
| License Number: | 33218 |
| Business Practice Address: | 4200 18th St Suite 102 San Francisco, CA - 941142470 |
| Business Phone Number: | 4156261929 |
| Business Fax Number: | 4156262607 |
| Mailing Address: | 701 Minnesota St Apt 114, SAN FRANCISCO |
| State: | CA |
| Postal Code: | 941073051 |
| Phone Number: | 4158286893 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 04/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 33218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |