LESLEY JACKSON

FREDERICKSBURG, VA
NPI1912241688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306603225)
Enumeration Date2012-11-19
Last Update Date2012-11-19
Business Address
LESLEY JACKSON PTA
60 BRIMLEY DR
FREDERICKSBURG, VA 22406-5148
Phone number: 540-479-3788
Mailing Address
LESLEY JACKSON PTA
411 PARK COVE DR
STAFFORD, VA 22554-3716
Phone number: 703-595-5565
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