BREANA M JACKSON

LAUREL, MD
NPI1952018541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2022-11-02
Last Update Date2022-11-02
Business Address
BREANA M JACKSON PTA
14205 PARK CENTER DR STE 204
LAUREL, MD 20707-5252
Phone number: 301-853-0093
Mailing Address
BREANA M JACKSON PTA
14205 PARK CENTER DR STE 204
LAUREL, MD 20707-5252
Phone number: 301-853-0093