Jackson, William Bradley

Jackson, William Bradley is an individual health care provider with primary practice located at 176 Division St , Great Barrington MA 01230-1179. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Jackson, William Bradley can be contacted via phone (413) 528-4289.

Contact Information

Primary practice address
176 Division St Great Barrington MA 01230-1179
Phone: (413) 528-4289
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 8151 Massachusetts

Profile Details

NPI number 1487846366
LBN Legal business name Jackson, William Bradley
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Aug 14th, 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.

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