National Provider Identifier
Jackson Sanna
Jackson Sanna is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Rochester, NY and a listed phone number of (585) 275-7379.
Profile Overview
- NPI
- 1053959304
- Provider Type
- Individual
- Primary Specialty
- Orthopedic Physical Therapist
- Enumeration Date
- December 17, 2019
- Last Updated
- December 17, 2019
Practice Location
- 4901 Lac De Ville Blvd Unit D
- Rochester, NY 14618-5647
Phone: (585) 275-7379
Specialties
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1053959304
- Entity Type
- Individual
- Last Name
- Sanna
- First Name
- Jackson
- Mailing Street Address
- 4901 Lac De Ville Blvd Unit D
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5647
- Mailing Country
- US
- Practice Street Address
- 4901 Lac De Ville Blvd Unit D
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5647
- Practice Country
- US
- Practice Phone
- (585) 275-7379
- Enumeration Date
- December 17, 2019
- Last Updated
- December 17, 2019
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 17, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopedic Physical Therapist (2251X0800X)