Laura R. Jackson L.P.T.A.

NPI 1760582720 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1760582720
Gender Female
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
812 N CHARLOTTE ST
DICKSON TN, 37055-1009, US
Phone (615) 446-8046
Fax
Business Location
1210 HARRIS HOLLOW RD
CHARLOTTE TN, 37036-5450, US
Phone (615) 218-4094
Fax
Toxanomy
Taxonomy Code 225200000X
License State Tennessee
License Number 02023
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According to our database, Mrs. Laura R. Jackson L.P.T.A. NPI is 1760582720, taxonomy code is 225200000X and license number is 02023, license state is located at Tennessee. Laura R. Jackson L.P.T.A. physically located at 812 N Charlotte St, Dickson TN, 37055-1009. NPI Number Laura R. Jackson L.P.T.A. has the Individual type.

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1760582720 NPI number is provided on an as is basis without warranty of any kind. 1760582720 is maintained by the National Plan & Provider Enumeration System. The contents of Laura R. Jackson L.P.T.A. are for informational purposes only.