Jackie Mclean, PTA

NPI #1003146531 in Florence, South Carolina

Provider Information

NPI Number: 1003146531
Entity Type: Individual
Name: Jackie Mclean, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 6, 2010
Last Updated: Jan 6, 2010

Practice Location

Address: 555 E CHEVES ST
City: Florence
State: South Carolina
ZIP Code: 29506-2617
Phone: (843) 777-2250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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