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Contact Information

ALICIA L JACKSON, PT
3630 NORTHBROOK DR
NORTHPORT, AL35473-5822
 Phone: 205-330-1001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ALICIA L JACKSON · (Female)

NPI Number 1013071745
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 12/20/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AL Other 9712 PHYSICAL THERAPY LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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