Jackson T George, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Des Plaines, IL

NPI

1912371113

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

160007346 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2015-11-25

Last updated

2015-11-25