Individual provider · Type 1 NPI

Stacy Jackson

Rehabilitation Practitioner · Washington, DC

NPI number 1720864994 Active

Practice location

1100 H St NW
Washington, DC 20005-5476

Mailing address

850 Towbin Ave
Lakewood, NJ 08701-5928

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1720864994

Stacy Jackson's National Provider Identifier is 1720864994, issued on Sep 5, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Washington, DC. The record was last updated on Sep 5, 2023.