Individual
JAYNA LACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
Mailing address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28794
FL
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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