LORIE G JACKSON

LOUISVILLE, KY
NPI1740673805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A02653)
Enumeration Date2015-03-13
Last Update Date2015-03-13
Business Address
Ms. LORIE G JACKSON PTA
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215-1130
Phone number: 502-361-2301
Mailing Address
Ms. LORIE G JACKSON PTA
106 ADA AVE
SHELBYVILLE, KY 40065-1432
Phone number: 502-257-2497
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