JACOB LANE JACKSON

LAFAYETTE, LA
NPI1215777826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  11757)
Enumeration Date2024-05-30
Last Update Date2024-05-30
Business Address
JACOB LANE JACKSON PT, DPT
401 N COLLEGE RD STE 1B
LAFAYETTE, LA 70506-4263
Phone number: 337-993-2766
Mailing Address
JACOB LANE JACKSON PT, DPT
983A E LANCASTER AVE
DOWNINGTOWN, PA 19335-3184
Phone number: 337-993-2766
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