EBONIE NICOLE JACKSON

HOMEWOOD, AL
NPI1710441522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA9250)
Enumeration Date2019-01-25
Last Update Date2019-01-25
Business Address
EBONIE NICOLE JACKSON PTA
1045 BROADWAY PARK STE 107
HOMEWOOD, AL 35209-6256
Phone number: 205-573-6278
Mailing Address
EBONIE NICOLE JACKSON PTA
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-4915
Phone number: 423-238-7217
Similar providers in Homewood, AL
JEREMY BRADLEY BOWEN