Lynn Jackson, Pt, PC

NPI #1871779256 in Austin, Texas

Provider Information

NPI Number: 1871779256
Entity Type: Organization
Organization Name: Lynn Jackson, Pt, PC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 15, 2008
Last Updated: Jan 15, 2008

Practice Location

Address: 6012 W WILLIAM CANNON DR
Address 2: BLDG C-101
City: Austin
State: Texas
ZIP Code: 78749-1980
Phone: (512) 899-8508

Authorized Official

Name: LYNN JACKSON, PT ,PC
Title: OWNER
Phone: (512) 899-8508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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