JESSICA SHANNON WATSON

LAKE CITY, FL
NPI1508113754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA22089)
Enumeration Date2012-08-07
Last Update Date2012-08-07
Business Address
-- JESSICA SHANNON WATSON P.T.A.
404 NW HALL OF FAME DR
LAKE CITY, FL 32055-4833
Phone number: 386-755-3163
Mailing Address
-- JESSICA SHANNON WATSON P.T.A.
463 SW MULESKINNER CT
LAKE CITY, FL 32024-1133
Phone number: 352-339-0872