MIRIAM JACKSON

THIBODAUX, LA
NPI1376509265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  PT05216)
Enumeration Date2006-04-21
Last Update Date2007-07-08
Business Address
-- MIRIAM JACKSON
206 E 3RD ST
THIBODAUX, LA 70301-3312
Phone number: 985-448-5888
Mailing Address
-- MIRIAM JACKSON
206 E 3RD ST
THIBODAUX, LA 70301-3312
Phone number: 985-448-5888