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1912519638
CHRISTINA RENEE JACKSON
BOCA RATON, FL
NPI
1912519638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA20602)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
CHRISTINA RENEE JACKSON PTA
21044 95TH AVE S
BOCA RATON, FL 33428-1500
Phone number: 561-609-4124
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Mailing Address
CHRISTINA RENEE JACKSON PTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-7214
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