Latonya Jackson, DPT

NPI #1760984579 in Bandera, Texas

Provider Information

NPI Number: 1760984579
Entity Type: Individual
Name: Latonya Jackson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Mar 7, 2018
Last Updated: Mar 7, 2018

Practice Location

Address: 3456 HWY 16 SOUTH
City: Bandera
State: Texas
ZIP Code: 78003
Phone: (830) 796-3447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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