MRS. Bobbi Jean Jackson, PTA

NPI #1336223411 in Humboldt, Tennessee

Provider Information

NPI Number: 1336223411
Entity Type: Individual
Name: MRS. Bobbi Jean Jackson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2031 AVONDALE ST
City: Humboldt
State: Tennessee
ZIP Code: 38343-1810
Phone: (731) 784-3655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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