ASHIYA FAYE JACKSON

CHARLOTTE, NC
NPI1164551826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: IL  070010961)
Enumeration Date2007-03-05
Last Update Date2022-01-12
Business Address
Ms. ASHIYA FAYE JACKSON DPT, PCS
3205 FREEDOM DR
CHARLOTTE, NC 28208-2866
Phone number: 704-336-7100
Mailing Address
Ms. ASHIYA FAYE JACKSON DPT, PCS
2621 KEZIAH RD
MATTHEWS, NC 28105-1993
Phone number: 773-592-6873
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