ERICA JACKSON

FORT STEWART, GA
NPI1699635185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA003650)
Enumeration Date2025-11-17
Last Update Date2025-11-17
Business Address
ERICA JACKSON PTA
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 571-802-0363
Mailing Address
ERICA JACKSON PTA
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: