Individual
MS. REBECCA LEIGH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 SHADOW WOOD PARK STE B, BIRMINGHAM, AL 35244-3447
(205) 982-4770
(205) 982-1389
Mailing address
113 KENSINGTON LN, ALABASTER, AL 35007-3903
(205) 956-4150
(205) 951-0017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3961
AL
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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