SHANNON JACKSON

NEWPORT NEWS, VA
NPI1407411366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306605329)
Enumeration Date2019-05-07
Last Update Date2019-05-07
Business Address
SHANNON JACKSON PTA
730 THIMBLE SHOALS BLVD STE 130
NEWPORT NEWS, VA 23606-4562
Phone number: 757-873-1554
Mailing Address
SHANNON JACKSON PTA
730 THIMBLE SHOALS BLVD STE 130
NEWPORT NEWS, VA 23606-4562
Phone number: 757-873-1554
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