GINA M JACKSON

LAKELAND, FL
NPI1619658192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  pta27269)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
GINA M JACKSON PTA
716 E BELLA VISTA ST
LAKELAND, FL 33805-3009
Phone number: 863-683-6504
Mailing Address
GINA M JACKSON PTA
716 E BELLA VISTA ST
LAKELAND, FL 33805-3009
Phone number:
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