Dr STEPHEN W JACKSON is a male medical professional, specializing in Physical Therapy. He graduated in 2015.
13053 HWY 73
SUITE B
GEISMAR
LA
707343021
Tel:
| Npi | 1275918401 |
| Pac Id | 6507175593 |
| Professional Enrollment Id | I20151013002003 |
| Last Name | JACKSON |
| First Name | STEPHEN |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 13053 HWY 73 |
| Line 2 Street Address | SUITE B |
| Marker Of Address Line 2 Suppression | |
| City | GEISMAR |
| State | LA |
| Zip Code | 707343021 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.