LETHECIA JACKSON

ROME, GA
NPI1184968687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT008646)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
-- LETHECIA JACKSON MPT
809 S BROAD ST SW
ROME, GA 30161-4654
Phone number: 706-235-1337
Mailing Address
-- LETHECIA JACKSON MPT
25 BEVERLY DR SW
ROME, GA 30165-3905
Phone number:
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