MRS. Alicia Ladonna Jackson, PT

NPI #1013071745 in Northport, Alabama

Provider Information

NPI Number: 1013071745
Entity Type: Individual
Name: MRS. Alicia Ladonna Jackson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Dec 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3630 NORTHBROOK DR
City: Northport
State: Alabama
ZIP Code: 35473-5822
Phone: (205) 330-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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