GABRIELLE ELYSE JACKSON

NPI: 1982333472 · Individual · Active

Primary Specialty

Physical Therapy Assistant

Practice Location

1 MASONIC WAY
SULLIVAN, IL 61951-9467 Map ↗
Phone: 217-728-3700

All Specialties & Licenses

  • Physical Therapy Assistant Primary (license: 160.007936, IL)

NPI Registration

Enumerated: 2022-06-09

Last CMS Update: 2022-06-09