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Ms. Elise M Jackson, DPT
Pediatric Physical Therapist in Norfolk, Virginia
NPI 1932412343

Elise M Jackson is a Pediatric Physical Therapist based in Norfolk, VA and is specialized in Pediatrics. Elise M Jackson practices in Norfolk, VA and has the professional credentials of DPT. The NPI Number for Elise M Jackson is 1932412343 and holds a License No. 2305206461 (Virginia).

The current practice location address for Elise M Jackson is 601 Childrens Ln, Norfolk, VA and can be reached out via phone at 757-668-7000.

Location: 601 Childrens Ln, Norfolk, VA, 23507-1153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932412343
Provider Name
Elise M Jackson
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
601 Childrens Ln, Norfolk, VA, 23507-1153
Phone Number
757-668-7000
Fax Number
Provider Enumeration Date
07/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2305206461 01 VA VIRGINIA BOARD OF PHYSICAL THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
601 Childrens Ln
City
Norfolk
State
Virginia
Zip
23507-1910
Phone Number
757-668-7000
Fax Number
person
Provider Business Mailing Address Details
Address
601 Childrens Ln
City
Norfolk
State
Virginia
Zip
23507-1910
Phone Number
757-668-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
2305206461 (Virginia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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