Lisa M Jackowiak, PT

NPI #1720301039 in Jasper, Georgia

Provider Information

NPI Number: 1720301039
Entity Type: Individual
Name: Lisa M Jackowiak, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 2, 2010
Last Updated: Aug 1, 2023

Practice Location

Address: 620 J L WHITE DR STE 110
City: Jasper
State: Georgia
ZIP Code: 30143-4897
Phone: (706) 692-9080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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