Jackman, Kelli Tracy

Jackman, Kelli Tracy is an sole proprietor health care provider with primary practice located at 981 Dowling Blvd , San Leandro CA 94577-2125. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jackman, Kelli Tracy can be contacted via phone (510) 638-9618.

Contact Information

Primary practice address
981 Dowling Blvd San Leandro CA 94577-2125
Phone: (510) 638-9618
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT 28294 California

Profile Details

NPI number 1750698114
LBN Legal business name Jackman, Kelli Tracy
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2010
Last updated Sep 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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