DAVID JACKSON JR.

LAKE CITY, SC
NPI1104098904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1706)
Enumeration Date2008-04-01
Last Update Date2008-04-01
Business Address
-- DAVID JACKSON JR. PTA
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560-2462
Phone number: 843-374-6198
Mailing Address
-- DAVID JACKSON JR. PTA
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560-2462
Phone number: 843-374-6198
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