KELLIE LYN JACKSON

CLEARWATER, FL
NPI1174826309
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA23154)
Enumeration Date2010-12-09
Last Update Date2012-12-09
Business Address
-- KELLIE LYN JACKSON PTA
1980 SUNSET POINT RD
CLEARWATER, FL 33765-1132
Phone number: 727-443-1588
Mailing Address
-- KELLIE LYN JACKSON PTA
1980 SUNSET POINT RD
CLEARWATER, FL 33765-1132
Phone number: 727-443-1588
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