ERICK LARON JACKSON

TYNDALL AFB, FL
NPI1952730491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305208116)
Enumeration Date2013-11-05
Last Update Date2023-07-06
Business Address
Dr. ERICK LARON JACKSON DPT
325 MDG/PHYSICAL THERAPY 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Phone number: 850-283-7019
Mailing Address
Dr. ERICK LARON JACKSON DPT
56 MDG/OPERATIONAL SUPPORT TEAM 7219 N. LITCHFIELD RD
PHOENIX, AZ 85309
Phone number: 623-856-4985