BETHANY I JACKSON
Restorative Service Providers at Marshall St, Irvington, NJ

License number
New Jersey 40QB00293000
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
10 Marshall St APT 5A, Irvington, NJ 07111
Phone
(201) 344-3960
National Provider ID: 1669830204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Bethany M Jackson
1572 Ormond Ave, Camden, NJ 08103
(856) 964-5260

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