Gina M Jackson, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Lakeland, FL

NPI

1619658192

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

PTA27269 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2023-07-27

Last updated

2023-07-27