Doctor Name: | DR. MARY JILL JACKSON |
NPI Number: | 1962620021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 32473 |
Business Practice Address: | 5000 Hopyard Rd 220 Pleasanton, CA - 945883348 |
Business Phone Number: | 8004932988 |
Business Fax Number: | |
Mailing Address: | 1546 Haviland Pl, CLAYTON |
State: | CA |
Postal Code: | 945171049 |
Phone Number: | 9702225898 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 32473 |
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 |