Jackson, Thomas Eugene

Jackson, Thomas Eugene is an individual health care provider with primary practice located at 830 S. Citrus Ave Suite 203, Azusa CA 91702. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jackson, Thomas Eugene can be contacted via phone (626) 339-6514.

Contact Information

Primary practice address
830 S. Citrus Ave Suite 203 Azusa CA 91702
Phone: (626) 339-6514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9248 California

Profile Details

NPI number 1790979292
LBN Legal business name Jackson, Thomas Eugene
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Aug 30th, 2007 - about 19 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.

Request for update

Popular Providers