Jackson, Johnetta
Jackson, Johnetta is an sole proprietor health care provider with primary practice located at 9701 Medical Center Dr , Rockville MD 20850-3326. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Jackson, Johnetta can be contacted via phone (301) 315-1900.Contact Information
Primary practice address
9701 Medical Center Dr
Rockville MD 20850-3326
Phone: (301) 315-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | A2691 | Maryland |
Profile Details
| NPI number | 1992149066 |
|---|---|
| LBN Legal business name | Jackson, Johnetta |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2013 |
| Last updated | Apr 19th, 2013 - about 12 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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