MS. Mildred Jean Lee-Jackson, PT

NPI #1780859728 in Niceville, Florida

Provider Information

NPI Number: 1780859728
Entity Type: Individual
Name: MS. Mildred Jean Lee-Jackson, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Apr 29, 2008
Last Updated: Apr 29, 2008

Practice Location

Address: 178 HOWARD ST
City: Niceville
State: Florida
ZIP Code: 32578-8022
Phone: (850) 678-6436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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