Ginger D Jackson, PTA

NPI #1467660100 in Valdosta, Georgia

Provider Information

NPI Number: 1467660100
Entity Type: Individual
Name: Ginger D Jackson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2109 N PATTERSON ST
Address 2: STE A
City: Valdosta
State: Georgia
ZIP Code: 31602-2946
Phone: (229) 247-5225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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