TIYE JACKSON

MELBOURNE, FL
NPI1669151841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  32771)
Enumeration Date2023-07-14
Last Update Date2023-07-14
Business Address
TIYE JACKSON PTA
3680 N WICKHAM RD
MELBOURNE, FL 32935-2337
Phone number: 321-255-5500
Mailing Address
TIYE JACKSON PTA
5513 WINTER GARDEN PKWY
FORT PIERCE, FL 34951-2054
Phone number: