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Sarah M Jackson, PT

Physical Therapist in Duluth, MN. Individual provider (NPI-1).

NPI number1164089702
StatusActive
Last updated in NPPESJun 19, 2019

Details

NPI
1164089702
Entity type
Individual (NPI-1)
Name
Sarah M Jackson
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2019
Last updated
Jun 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist11486MNYes

Practice location

4212 Grand Ave
Duluth, MN 55807-2737

Phone 218-786-3500

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

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