Annie Jackson

NPI #1356612543 in Heathrow, Florida

Provider Information

NPI Number: 1356612543
Entity Type: Individual
Name: Annie Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 19, 2012
Last Updated: Jan 19, 2012

Practice Location

Address: 1525 INTERNATIONAL PKWY
City: Heathrow
State: Florida
ZIP Code: 32746-7644
Phone: (800) 798-6035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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