Jackson, Judy Eva

Jackson, Judy Eva is an individual health care provider with primary practice located at 38435 5Th St. W Apt J155, Palmdale CA 93551. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jackson, Judy Eva can be contacted via phone (310) 404-1558.

Contact Information

Primary practice address
38435 5Th St. W Apt J155 Palmdale CA 93551
Phone: (310) 404-1558
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 14717 California

Profile Details

NPI number 1962624387
LBN Legal business name Jackson, Judy Eva
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated May 2nd, 2019 - about 6 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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