Breana M. Jackson, PTA

Physical Therapy Assistant · Laurel, MD

Individual Active NPI

NPI number 1952018541

Practice location

14205 Park Center Dr Ste 204
Laurel, MD 20707-5252
Phone
(301) 853-0093

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NPI record

NPI
1952018541
Entity type
Individual (Type 1)
Enumeration date
November 2, 2022
Last updated
November 2, 2022
Certified
November 2, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X — —

About Breana Jackson

Breana M. Jackson, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 14205 Park Center Dr Ste 204, Laurel, MD 20707-5252. The NPI number 1952018541 was assigned on November 2, 2022 and the record was last updated on November 2, 2022.

Frequently asked questions

What is the NPI number of Breana M. Jackson, PTA?

The NPI number is 1952018541.

What is the phone number of Breana Jackson?

The phone number listed for the practice location is (301) 853-0093.

Where is Breana Jackson located?

14205 Park Center Dr Ste 204, Laurel, MD 20707-5252.

What is the taxonomy code for Breana Jackson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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