Individual
KYLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5559 CANAL BLVD, NEW ORLEANS, LA 70124-2745
(504) 309-5811
(504) 309-5877
Mailing address
5559 CANAL BLVD, NEW ORLEANS, LA 70124-2745
(504) 309-5811
(504) 309-5877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10617
LA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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