KATHY JACKSON

LIVE OAK, FL
NPI1811060379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT17158)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
-- KATHY JACKSON PT
10820 MARVIN E. JONES BLVD.
LIVE OAK, FL 32060
Phone number: 386-658-5865
Mailing Address
-- KATHY JACKSON PT
373 NE GID JACKSON LN
MAYO, FL 32066
Phone number: 386-658-5865
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