| NPI | 1164478988 |
|---|---|
| Former Name | LINDSAY A JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029414) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15689) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-06-29 |