ETHAN GAINOR JACKSON

LAWRENCEVILLE, GA
NPI1891210456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT013032)
Enumeration Date2017-08-04
Last Update Date2017-08-04
Business Address
ETHAN GAINOR JACKSON PT, DPT
455 PHILIP BLVD BLDG 100-160
LAWRENCEVILLE, GA 30046-8767
Phone number: 678-985-0238
Mailing Address
ETHAN GAINOR JACKSON PT, DPT
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-2564
Phone number: 423-238-7217
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