TRACY L JACKSON

BOYNTON BEACH, FL
NPI1891739868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  04215)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
Ms. TRACY L JACKSON OT
2500 QUANTUM LAKES DR SUITE 108
BOYNTON BEACH, FL 33426-8324
Phone number: 561-244-3627
Mailing Address
Ms. TRACY L JACKSON OT
2500 QUANTUM LAKES DR SUITE 108
BOYNTON BEACH, FL 33426-8324
Phone number: 561-244-3627