Ryan Leland Jackson
Ryan Leland Jackson is a Rehabilitation Practitioner in San Jose, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
1302 N 4th StSan Jose, CA 95112-4713
Phone: (408) 379-3796
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X · Licence E205069 (CA) |
|---|
Record details
| NPI number | 1891665964 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 5, 2025 |
| Last updated in NPPES | November 5, 2025 |
| Certification date | November 5, 2025 |
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