Jackson, Herman L

Jackson, Herman L is an individual health care provider with primary practice located at Physical Therapy Of Harlem 1400 5Th Ave , New York City NY 10026. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Jackson, Herman L can be contacted via phone (212) 996-3303.

Contact Information

Primary practice address
Physical Therapy Of Harlem 1400 5Th Ave New York City NY 10026
Phone: (212) 996-3303
Fax: (212) 996-9686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 008098 New York

Profile Details

NPI number 1013423391
LBN Legal business name Jackson, Herman L
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2017
Last updated Dec 21st, 2017 - about 8 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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