Perry, Jackie Denise

Perry, Jackie Denise is an individual health care provider with primary practice located at 8748 Lackawanna Ave , Baltimore MD 21234-3506. 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. Perry, Jackie Denise can be contacted via phone (410) 661-5955.

Contact Information

Primary practice address
8748 Lackawanna Ave Baltimore MD 21234-3506
Phone: (410) 661-5955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A2761 Maryland

Profile Details

NPI number 1659497147
LBN Legal business name Perry, Jackie Denise
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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