Doctor Name: | KAITLIN JACKSON |
NPI Number: | 1528347507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 40QA01411300 |
Business Practice Address: | 743 Alexander Rd Suite 2 Princeton, NJ - 085406328 |
Business Phone Number: | 6094190455 |
Business Fax Number: | 6094190023 |
Mailing Address: | Po Box 310, THREE BRIDGES |
State: | NJ |
Postal Code: | 088870310 |
Phone Number: | 9088062000 |
Fax Number: | 9088062003 |
NPI Enumeration Date: | 08/09/2011 |
NPI Last Update Date: | 08/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01411300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |