RONALD ELIOT JACKSON

SAN ANTONIO, TX
NPI1689866857
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2063260)
Enumeration Date2007-08-13
Last Update Date2007-08-13
Business Address
Mr. RONALD ELIOT JACKSON Licensed PTA
11615 BASKET XING
SAN ANTONIO, TX 78245-3375
Phone number: 210-360-0968
Mailing Address
Mr. RONALD ELIOT JACKSON Licensed PTA
11615 BASKET XING
SAN ANTONIO, TX 78245-3375
Phone number: 210-360-0968